Organization
VINCENT E C KIESEL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT E C KIESEL MD (OWNER)
(727) 938-1581
Entity
Organization
Contact information
Practice address
1200 S PINELLAS AVE, SUITE 1, TARPON SPRINGS, FL 34689-3728
(727) 938-1581
(727) 938-1583
Mailing address
1200 S PINELLAS AVE, SUITE 1, TARPON SPRINGS, FL 34689-3728
(727) 938-1581
(727) 938-1583
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
ME36082
FL
Other
Enumeration date
03/12/2008
Last updated
09/08/2010
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