Dr KEVIN M BOERNER PA is a male medical professional, specializing in Physician Assistant. He graduated in 1985.
FLORIDA HOSPITAL MEDICAL GROUP INC
2600 WESTHALL LN
FL 4
MAITLAND
FL
327517102
Tel: 4072002700
| Npi | 1457346959 |
| Pac Id | 3577467125 |
| Professional Enrollment Id | I20041118000911 |
| Last Name | BOERNER |
| First Name | KEVIN |
| Middle Name | M |
| Suffix | |
| Gender | M |
| Credential | PA |
| Medical School Name | OTHER |
| Graduation Year | 1985 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
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| Organization Legal Name | FLORIDA HOSPITAL MEDICAL GROUP INC |
| Group Practice Pac Id | 0749186153 |
| Number Of Group Practice Members | 788 |
| Line 1 Street Address | 2600 WESTHALL LN |
| Line 2 Street Address | FL 4 |
| Marker Of Address Line 2 Suppression | |
| City | MAITLAND |
| State | FL |
| Zip Code | 327517102 |
| Phone Number | 4072002700 |
| Hospital Affiliation Ccn 1 | 100007 |
| Hospital Affiliation Lbn 1 | FLORIDA HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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