Healthcare Provider Details

I. General information

NPI: 1255033882
Provider Name (Legal Business Name): KENNETH APPEL DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 OAKFIELD DR
BRANDON FL
33511-5779
US

IV. Provider business mailing address

10208 ARBOR SIDE DR
TAMPA FL
33647-2951
US

V. Phone/Fax

Practice location:
  • Phone: 813-618-5551
  • Fax:
Mailing address:
  • Phone: 813-618-9009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberOS23278
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: