| Little Angel Silver Star Llc | |
|
4614 S Kirkman Rd Orlando FL 32811-2891 | |
| (407) 512-5700 | |
| (800) 752-1493 |
| Full Name | Little Angel Silver Star Llc |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 4614 S Kirkman Rd, Orlando, Florida |
| Authorized Official Name and Position | Micahel J Kerkes (STAFF DOCTOR) |
| Authorized Official Contact | 4075125700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Angel Silver Star Llc 4614 S Kirkman Rd Orlando FL 32811-2891 Ph: (407) 512-5700 | Little Angel Silver Star Llc 4614 S Kirkman Rd Orlando FL 32811-2891 Ph: (407) 512-5700 |
| NPI Number | 1669813135 |
|---|---|
| Provider Enumeration Date | 07/12/2013 |
| Last Update Date | 07/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669813135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | ME44739 (Florida) | Primary |
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