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NPI Code Detail

MEDICARE: DR. KEVIN A. RADBILL DO

MEDICARE: DR. KEVIN A. RADBILL DO
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
1207Q00000XFamily Medicine PhysicianOS8477FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00862313OTHERFLRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2293013OTHERFLAVMED
337604OTHERBCBS

General Provider Information

NPI Number : 1851379036
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN A. RADBILL DO
Provider Business Mailing Address
First Line : PO BOX 21406
Second Line :
City : TAMPA
State : FL
Zip : 33622-1406
Country : US
Telephone Number : 727-823-2188
Fax Number : 727-828-0723
Provider Business Practice Location Address
First Line : 12280 LAKE UNDERHILL RD
Second Line :
City : ORLANDO
State : FL
Zip : 32825-5009
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2006
Last Update Date : 06/01/2026

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