Organization
PAMELA KIRBY PA
Active
Other names
DR PAMEL KIRBY DPM
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA KIBRY DOM (PRESIDENT)
(386) 788-4111
Entity
Organization
Contact information
Practice address
4606 SOUTH CLYDE MORRIS BOULEVARD, SUITE 1J, PORT ORANGE, FL 32129
(386) 788-4111
(386) 788-4113
Mailing address
4606 SOUTH CLYDE MORRIS BOULEVARD, SUITE 1J, PORT ORANGE, FL 32129
(386) 788-4111
(386) 788-4113
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
AP2222
FL
261QP1100X
Podiatric Clinic/Center
Primary
PO0002581
FL
261QP1100X
Podiatric Clinic/Center
PO2796
FL
261QP1100X
Podiatric Clinic/Center
PO3308
FL
261QP2000X
Physical Therapy Clinic/Center
PT17909
FL
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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