| Kirkman Medical Center Llc | |
|
882 S Kirkman Rd Ste 108a Orlando FL 32811-2600 | |
| (407) 298-4045 | |
| (407) 298-4046 |
| Full Name | Kirkman Medical Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 882 S Kirkman Rd, Orlando, Florida |
| Authorized Official Name and Position | Srinivasan Pillai (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4072984045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kirkman Medical Center Llc 882 S Kirkman Rd Ste 108a Orlando FL 32811-2600 Ph: (407) 298-4045 | Kirkman Medical Center Llc 882 S Kirkman Rd Ste 108a Orlando FL 32811-2600 Ph: (407) 298-4045 |
| NPI Number | 1588818983 |
|---|---|
| Provider Enumeration Date | 11/11/2008 |
| Last Update Date | 05/08/2015 |
| Medicare PECOS PAC ID | 5890844328 |
|---|---|
| Medicare Enrollment ID | O20090512000604 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588818983 | NPI | - | NPPES |
| BR082A | Other | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Srinivasan S Pillai |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013957307 PECOS PAC ID: 8820994767 Enrollment ID: I20061114000420 |
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