Provider Demographics
NPI:1437329216
Name:KARR AND KORNBERG ORTHOPAEDIC ASSOCIATES, MD, PA.
Entity Type:Organization
Organization Name:KARR AND KORNBERG ORTHOPAEDIC ASSOCIATES, MD, PA.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARKUS
Authorized Official - Middle Name:
Authorized Official - Last Name:KORNBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-846-6004
Mailing Address - Street 1:604 OAK COMMONS BLVD
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34741-4198
Mailing Address - Country:US
Mailing Address - Phone:407-846-6004
Mailing Address - Fax:407-846-1330
Practice Address - Street 1:1600 BUDINGER AVE
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34769-6008
Practice Address - Country:US
Practice Address - Phone:407-892-8877
Practice Address - Fax:407-892-8659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-07
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty