Individual
DR. STEVEN BENJAMIN KAILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 KINGSLEY AVE, ORANGE PARK MEDICAL CENTER EMERGENCY DEPARTMENT, ORANGE PARK, FL 32073-5148
(904) 276-8580
Mailing address
8761 PERIMETER PARK BLVD STE 106, SOUTHEAST EMERGENCY CONSULTANTS, JACKSONVILLE, FL 32216-6397
(904) 641-6628
(904) 642-1243
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME91282
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275631500
—
FL
Enumeration date
06/07/2006
Last updated
10/15/2008
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