Sofia K. Kirk, M.D., PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME89157 Issued in FL

Legal business name

SOFIA K. KIRK, M.D., PLLC

Practice address

13241 Bartram Park Blvd
Ste 1017
Jacksonville, FL 32258-5212

Phone

(904) 260-2001

NPI assigned

Nov 22, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sofia Kirk, M.D.

Title

President

Phone

(904) 260-2001

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca Wehner Hewitt, ARNP

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1144639584
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1902108020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13241 BARTRAM PARK BLVD",
            "address_2": "STE 1017",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13241 BARTRAM PARK BLVD",
            "address_2": "STE 1017",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585212",
            "telephone_number": "904-260-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOFIA K. KIRK, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-22",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "SOFIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-260-2001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME89157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Social Work Ceo, LLC
• Carla L Sodano
• Ryan Soehlig, PHARMD
• Daniel Soffer, MD
• Kimberly Soffler, A.R.N.P.
• Christopher John Soha, DO
• Mary E Soha, M.D.
• Sara B Sohn, DPT
• Elizabeth M Soika, PT
• Wilta Soirelus, APRN

• Plastic Surgery Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.