Kornberg, Paul B

Kornberg, Paul B is an individual health care provider with primary practice located at 2914 N Boulevard , Tampa FL 33602-1208. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine. Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine is his primary health care specialty. Kornberg, Paul B can be contacted via phone (813) 228-7696.

Contact Information

Primary practice address
2914 N Boulevard Tampa FL 33602-1208
Phone: (813) 228-7696
Fax: (813) 228-0677
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X ME0085060 Florida
Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine 2081P0010X ME0085060 Florida

Profile Details

NPI number 1710943451
LBN Legal business name Kornberg, Paul B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Oct 28th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710943451 NPPES
Florida Other 13779 BLUE CROSS
Florida MEDICAID 2641542-00 BLUE CROSS
Florida Other N216229 BLUE CROSS
Florida Other 2850138 BLUE CROSS
Florida Other 716175 BLUE CROSS

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