Organization
SOFIA K. KIRK, M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOFIA KIRK M.D. (PRESIDENT)
(904) 260-2001
Entity
Organization
Contact information
Practice address
13241 BARTRAM PARK BLVD, STE 1017, JACKSONVILLE, FL 32258-5212
(904) 260-2001
Mailing address
13241 BARTRAM PARK BLVD, STE 1017, JACKSONVILLE, FL 32258-5212
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
ME89157
FL
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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