Individual
DR. SOFIA K KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4340 W NEWBERRY RD, SUITE 301, GAINESVILLE, FL 32607-2557
(352) 372-9414
(352) 271-5393
Mailing address
4340 W NEWBERRY RD, SUITE 301, GAINESVILLE, FL 32607-2557
(352) 372-9414
(352) 271-5393
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME89157
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270209600
—
FL
01
—
43120
BCBS FL
FL
01
—
CI6613
RAILROAD MEDICARE
FL
Enumeration date
06/15/2006
Last updated
02/06/2008
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