1134070402 NPI number — FLORIDA EMERGENCY PHYSICIANS KANG AND ASSOCIATES MD LLC

Table of content: (NPI 1134070402)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134070402 NPI number — FLORIDA EMERGENCY PHYSICIANS KANG AND ASSOCIATES MD LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FLORIDA EMERGENCY PHYSICIANS KANG AND ASSOCIATES MD LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1134070402
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/04/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 639165
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CINCINNATI
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45263-9165
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-342-2898
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7823 PALM PKWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ORLANDO
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32836-6404
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
407-550-0500
Provider Business Practice Location Address Fax Number:
407-644-1033
Provider Enumeration Date:
02/04/2026

Additional Information

Authorized Official

Authorized Official Last Name:
CORVINI
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
D
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
813-635-5855

Provider Taxonomy Codes

  • Taxonomy code: 207P00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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