Organization
KIRK E MAES M D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRK EDWIN MAES M.D. (OWNER)
(772) 581-5881
Entity
Organization
Contact information
Practice address
13000 US HIGHWAY 1, SUITE 5, SEBASTIAN, FL 32958-3773
(772) 581-5881
(772) 581-5883
Mailing address
13000 US HIGHWAY 1, SUITE 5, SEBASTIAN, FL 32958-3773
(772) 581-5881
(772) 581-5883
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
ME00078507
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257656200
—
FL
Enumeration date
06/17/2006
Last updated
09/23/2008
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