MEDICARE: DR. KIRK EDWIN MAES 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	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	ME00078507	FL
2	207X00000X	Orthopaedic Surgery Physician	ME78507	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	:	1609818343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIRK EDWIN MAES M.D.

Provider Business Mailing Address
First Line	:	13000 US HIGHWAY 1
Second Line	:	SUITE 5
City	:	SEBASTIAN
State	:	FL
Zip	:	32958-3773
Country	:	US
Telephone Number	:	772-581-5881
Fax Number	:	772-581-5883

Provider Business Practice Location Address
First Line	:	13000 US HIGHWAY 1
Second Line	:	SUITE 5
City	:	SEBASTIAN
State	:	FL
Zip	:	32958-3773
Country	:	US
Telephone Number	:	772-581-5881
Fax Number	:	772-581-5883

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

Provider Enumeration Date	:	06/10/2006
Last Update Date	:	03/31/2025

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