Organization
KIRKMAN MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRINIVASAN PILLAI M.D. (MEDICAL DIRECTOR)
(407) 298-4045
Entity
Organization
Contact information
Practice address
882 S KIRKMAN RD, STE 108A, ORLANDO, FL 32811-2600
(407) 298-4045
(407) 298-4046
Mailing address
882 S KIRKMAN RD, STE 108A, ORLANDO, FL 32811-2600
(407) 298-4045
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BR082A
PTAN
—
Enumeration date
11/11/2008
Last updated
05/08/2015
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