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NPI Code Detail

MEDICARE: JAMES MICHAEL KERPSACK M.D.

MEDICARE: JAMES MICHAEL KERPSACK M.D.
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
1207XP3100XPediatric Orthopaedic Surgery PhysicianME106488FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861499451
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES MICHAEL KERPSACK M.D.
Provider Business Mailing Address
First Line : 4215 BURNS RD STE 200
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33410-4625
Country : US
Telephone Number : 561-694-7776
Fax Number : 561-694-3099
Provider Business Practice Location Address
First Line : 7701 SOUTHERN BLVD STE 100
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33411-3803
Country : US
Telephone Number : 561-694-7776
Fax Number : 561-694-3099
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 04/24/2023

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