Individual
KILE SKROBACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
350 7TH ST N, NAPLES, FL 34102-5754
(239) 624-4650
(239) 624-4651
Mailing address
PO BOX 8569, NAPLES, FL 34101-8569
(239) 624-0400
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9112880
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105863900
—
FL
01
—
H4NXO
FLORIDA BLUE
FL
Enumeration date
01/18/2017
Last updated
04/22/2020
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