DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEVIN M BOERNER, PAC

Active

KEVIN M BOERNER, PAC is a Surgical Physician Assistant healthcare provider located in CELEBRATION, Florida. NPI 1457346959 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · CELEBRATION, FL

Registration Details

NPI Number
1457346959
Provider Type
Individual
Gender
Male
NPI Issued
Sep 12, 2005 (20.885612811747 yrs)
Last Updated
Jan 14, 2014
License
PA1628 (FL)

Practice Information

Address
410 CELEBRATION PLACE
SUITE 200
CELEBRATION, FL, 347475432
Browse FL providers · Browse ZIP 34747
Phone
4073034673
Fax
4073980050
Primary Specialty
Surgical Physician Assistant
363AS0400X

Other Surgical Physician Assistant Providers in CELEBRATION, FL

Name Credential NPI
EDMUND ABATE III PA-C 1205820206
MRS. ROBYN M. GARDNER PA-C 1265407217
BOBBY JOHN ARDILA PA-C 1699737783
RONALD JASON MOORE PA-C 1316902679
SARAH D MCLEAN PA 1760575013
MS. JILL SUZANNE VILLAROSA PA-C 1427236652
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.