Provider Demographics
NPI:1851356091
Name:KIRK G VOELKER MD PA
Entity Type:Organization
Organization Name:KIRK G VOELKER MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KIRK
Authorized Official - Middle Name:G
Authorized Official - Last Name:VOELKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-544-3021
Mailing Address - Street 1:PO BOX 25032
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34277-2032
Mailing Address - Country:US
Mailing Address - Phone:941-330-1696
Mailing Address - Fax:877-576-1434
Practice Address - Street 1:1700 S TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-3509
Practice Address - Country:US
Practice Address - Phone:941-330-1696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-19
Last Update Date:2018-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLDD5955OtherRR MEDICARE
FL=========OtherTAX ID
FLK7934Medicare PIN