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NPI Code Detail

MEDICARE: KYLE DRAPEAU

MEDICARE: KYLE DRAPEAU
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
1363A00000XPhysician AssistantPA9121704FL

General Provider Information

NPI Number : 1598601411
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLE DRAPEAU
Provider Business Mailing Address
First Line : 15815 SHADDOCK DR STE 130
Second Line :
City : WINTER GARDEN
State : FL
Zip : 34787-5773
Country : US
Telephone Number : 407-605-2321
Fax Number : 407-671-4155
Provider Business Practice Location Address
First Line : 15815 SHADDOCK DR STE 130
Second Line :
City : WINTER GARDEN
State : FL
Zip : 34787-5773
Country : US
Telephone Number : 407-605-2321
Fax Number : 407-671-4155
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2026
Last Update Date : 04/24/2026

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Directions to “ KYLE DRAPEAU ” Practice Location

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