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1073514337

NPI Code Detail

MEDICARE: DR. KURT SAMUEL HENSEL MD

MEDICARE: DR. KURT SAMUEL HENSEL MD

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
1	207X00000X	Orthopaedic Surgery Physician	ME98989	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AE765Y	OTHER	FL	MEDICARE
3	AE765X	OTHER	FL	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	90316	OTHER	FL	BCBS OF FL
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073514337
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KURT SAMUEL HENSEL MD

Provider Business Mailing Address
First Line	:	3300 S FISKE BLVD
Second Line	:
City	:	ROCKLEDGE
State	:	FL
Zip	:	32955-4306
Country	:	US
Telephone Number	:	321-434-1401
Fax Number	:	321-951-7408

Provider Business Practice Location Address
First Line	:	1425 MALABAR RD NE
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32907-2506
Country	:	US
Telephone Number	:	321-434-1401
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	07/06/2021

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Directions to “ DR. KURT SAMUEL HENSEL MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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