=====================================================
General NPI Number Information
=====================================================
NPI Number | 1851356091
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KIRK G VOELKER MD PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/19/2006
-----------------------------------------------------
Last Update Date | 04/26/2018
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1700 S TAMIAMI TRL
-----------------------------------------------------
City | SARASOTA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34239-3509
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 941-330-1696
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 25032
-----------------------------------------------------
City | SARASOTA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34277-2032
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 941-330-1696
-----------------------------------------------------
Fax | 877-576-1434
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. KIRK G. VOELKER
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 941-544-3021
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RP1001X
-----------------------------------------------------
Taxonomy Name | Pulmonary Disease Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------