Individual
KYLE HALUNEN FISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(321) 841-1893
(321) 841-1296
Mailing address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(321) 841-1893
(321) 841-1296
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME157078
FL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
ME157078
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118612700
—
FL
Enumeration date
04/02/2019
Last updated
08/18/2023
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