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KEVIN M BOERNER PAC
NPI 1457346959
Physician Assistant - Surgical in Celebration, FL

Active since September 12, 2005
410 CELEBRATION PLACE, SUITE 200, CELEBRATION, FL 34747(407) 303-4673(407) 398-0050 Get Directions Write a Review

NPPES record last updated: January 14, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kevin M Boerner Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN M BOERNER PAC (NPI 1457346959) is an individual surgical provider in Celebration, Florida, licensed in Florida (PA1628) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1457346959
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameKEVIN M BOERNERCredential: PAC
Location Address410 CELEBRATION PLACE, SUITE 200Celebration, FL 34747-5432
Mailing Address410 Celebration Place, Suite 200Celebration, FL 34747-5432 · (407) 303-4673 · Fax (855) 834-5435
Phone(407) 303-4673
Fax(407) 398-0050
Sole ProprietorNo
Enumeration DateSeptember 12, 2005
Last NPPES UpdateJanuary 14, 2014
✔ NPI 1457346959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in FL · PA1628
410 CELEBRATION PLACE, Celebration, FL 34747
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Other Identifiers 3

Medicaid290145500FL
Medicare UPINS86318
Medicare PINE3713FL

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAISSAL ZAHRAWI MD
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
410 CELEBRATION PLACE, SUITE 106
CELEBRATION, FL 34747
Osceola County (407) 303-4270
DAVID DENNIS DORE MD
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
410 CELEBRATION PLACE, SUITE 106
CELEBRATION, FL 34747
Osceola County (407) 303-4270
MR. JAMES SUTLIVE ATKINS JR. MD
Otolaryngology
410 CELEBRATION PLACE, SUITE 100
CELEBRATION, FL 34747
Osceola County (321) 939-3000
ROBERT V COLEMAN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
410 CELEBRATION PLACE, SUITE 306
CELEBRATION, FL 34747
Osceola County (407) 303-4855
MRS. VICTORIA ELAINE RICHIONE APRN, FNP-C
Nurse Practitioner (Family)
410 CELEBRATION PLACE, STE 208
CELEBRATION, FL 34747
Osceola County (877) 800-0239
ALEDYANDRA MARITT CRESPO NIEVES MD
Obstetrics & Gynecology
410 CELEBRATION PLACE, STE 208
CELEBRATION, FL 34747
Osceola County (877) 800-0239
JORDANA ISABEL REINA FERNANDEZ M.D.
Obstetrics & Gynecology
410 CELEBRATION PLACE, STE 208
CELEBRATION, FL 34747
Osceola County (877) 800-0239
VALENTINA ACOSTA-MORENO
Physician Assistant
410 CELEBRATION PLACE, STE 208
CELEBRATION, FL 34747
Osceola County (877) 800-0239

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Boerner's NPI number?

The NPI number for Kevin Boerner is 1457346959. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Where is Kevin Boerner located?

Kevin Boerner practices at 410 Celebration Place Suite 200, Celebration, FL 34747. The listed phone number is (407) 303-4673.

What is Kevin Boerner's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Kevin Boerner was last updated on January 14, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.