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Individual

MICHAEL PAUL KAHKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(321) 843-5001
(321) 843-5085
Mailing address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(321) 843-5001
(321) 843-5085

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME0064894
FL
2086X0206X
Surgical Oncology Physician
Primary
ME0064894
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23305
BLUE CROSS BLUE SHIELD
FL
05
373616400
FL
Enumeration date
09/05/2006
Last updated
02/16/2021
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