MEDICARE: DR. MICHAEL C KINDYA 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
1	207X00000X	Orthopaedic Surgery Physician	ME132830	FL
2	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	ME132830	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1548559834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL C KINDYA M.D.

Provider Business Mailing Address
First Line	:	604 OAK COMMONS BLVD
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34741-4198
Country	:	US
Telephone Number	:	407-846-6004
Fax Number	:	407-846-1330

Provider Business Practice Location Address
First Line	:	4850 W OAKLAND PARK BLVD STE 201
Second Line	:
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33313-7268
Country	:	US
Telephone Number	:	954-735-3535
Fax Number	:	954-484-7000

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

Provider Enumeration Date	:	04/07/2011
Last Update Date	:	11/21/2024

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