Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | OS9485 | FL |
N | 111NI0900X | Internist | OS9485 | FL |
Y | 207RH0002X | Hospice and Palliative Medicine | OS9485 | FL |
NPI | 1306891874 |
---|---|
Provider Name | Dr. Kerry Englert |
First Address | Clearwater, FL 33757-8744 |
Second Address | Safety Harbor, FL 34695-6607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2006 |
Last Update Date | 17/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1306891874 | (05) | FL |
279347400 | (05) | FL |
I 71289 | (02) | FL |