Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 113448 | FL |
N | 207P00000X | Emergency Physician | 4301095085 | MI |
N | 207PP0204X | Pediatric Emergency Physician | 2019-00607 | NC |
N | 2080P0204X | Pediatric Emergency Doctor | 17577 | FL |
NPI | 1437386174 |
---|---|
Provider Name | Dr. Sara Elizabeth Kirby |
First Address | Tampa, FL 33613-4613 |
Second Address | Orlando, FL 32803-1248 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2009 |
Last Update Date | 05/03/2021 |