Organization
LITTLE ANGEL SILVER STAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICAHEL J KERKES M.D (STAFF DOCTOR)
(407) 512-5700
Entity
Organization
Contact information
Practice address
4614 S KIRKMAN RD, ORLANDO, FL 32811-2891
(407) 512-5700
(800) 752-1493
Mailing address
4614 S KIRKMAN RD, ORLANDO, FL 32811-2891
(407) 512-5700
(800) 752-1493
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
ME44739
FL
Other
Enumeration date
07/12/2013
Last updated
07/12/2013
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