Healthcare Provider Details

I. General information

NPI: 1912294497
Provider Name (Legal Business Name): KERLIE ESTIMABLE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2011
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4426 OLD WINTER GARDEN RD
ORLANDO FL
32811-4211
US

IV. Provider business mailing address

4426 OLD WINTER GARDEN RD
ORLANDO FL
32811-4211
US

V. Phone/Fax

Practice location:
  • Phone: 407-428-5751
  • Fax: 407-203-5157
Mailing address:
  • Phone: 407-428-5751
  • Fax: 407-203-5157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME120524
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: