Basic Information
Provider Information
NPI: 1548554546
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KIRSCHNER
FirstName: SETH
MiddleName: DANIEL
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3001 CORAL HILLS DR STE 250
Address2:  
City: CORAL SPRINGS
State: FL
PostalCode: 330654175
CountryCode: US
TelephoneNumber: 9547215400
FaxNumber: 9547248004
Practice Location
Address1: 3001 CORAL HILLS DR STE 250
Address2:  
City: CORAL SPRINGS
State: FL
PostalCode: 330654175
CountryCode: US
TelephoneNumber: 9547215400
FaxNumber: 9547248004
Other Information
ProviderEnumerationDate: 06/07/2011
LastUpdateDate: 03/17/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RG0100XOS14368FLY Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
207R00000XOT014244PAN Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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