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Individual

MRS. MICHELE M KIRBACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
299 N ORLANDO AVE, COCOA BEACH, FL 32931-2916
(321) 783-5512
(321) 783-9358
Mailing address
299 N ORLANDO AVE, COCOA BEACH, FL 32931-2916
(321) 783-5512
(321) 783-9358

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA0029222
FL

Other

Enumeration date
11/07/2006
Last updated
07/08/2007
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