Individual
DR. KURT BRYAN REPKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 38TH AVE N, ST PETERSBURG, FL 33713
(941) 792-2020
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-8575
(864) 359-1308
(239) 496-3939
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME79899
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
ME7899
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258386100
—
FL
Enumeration date
07/18/2005
Last updated
04/24/2026
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