Organization
DR. PAMELA KIRBY PA
Active
Other names
Pamela Kirby, DPM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA KIRBY DPM (OWNER)
(386) 788-4111
Entity
Organization
Contact information
Practice address
4606 S CLYDE MORRIS BLVD, 1 J, PORT ORANGE, FL 32129-7453
(386) 788-4111
(386) 788-4113
Mailing address
4606 S CLYDE MORRIS BLVD, 1 J, PORT ORANGE, FL 32129-7453
(386) 788-4111
(386) 788-4113
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
PO0003382
FL
261QP1100X
Podiatric Clinic/Center
Primary
PO2581
FL
261QP1100X
Podiatric Clinic/Center
PO2796
FL
261QP2000X
Physical Therapy Clinic/Center
PT10210
FL
261QP2000X
Physical Therapy Clinic/Center
PT17909
FL
Other
Enumeration date
05/19/2008
Last updated
08/20/2015
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