MEDICARE: RONALD JAY KERBLE PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA9101013	FL
2	363AS0400X	Surgical Physician Assistant	PA9101013	FL

General Provider Information

NPI Number	:	1578804183
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD JAY KERBLE PA

Provider Business Mailing Address
First Line	:	7280 W PALMETTO PARK RD STE 305
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-3427
Country	:	US
Telephone Number	:	561-955-6025
Fax Number	:	561-955-6069

Provider Business Practice Location Address
First Line	:	7280 W PALMETTO PARK RD STE 305
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-3427
Country	:	US
Telephone Number	:	561-955-6025
Fax Number	:	561-955-6069

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2013
Last Update Date	:	07/28/2025

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