Dr. Kerry Diane Thek, M.D.
Pediatric Gastroenterology
NPI: 1457349417 Florida
76/100
Good — Trusted
Trust Score based on license status, disciplinary record, board certification, experience, and data freshness.
Score Breakdown
License Status15/30
unknown
Disciplinary Record25/25
0 action(s)
Board Certification15/20
Not verified
Years in Practice15/15
21 years
Data Freshness6/10
Updated 2961 days ago
License Status
FloridaActive
License #
58396
Issued
Aug 20, 1990
Expires
Jan 31, 2028
Practice Information
- Address
- 1690 DUNLAWTON AVE STE 120
- PORT ORANGE, FL 32127
- Phone
- (386) 677-0531
- In Practice Since
- October 12, 2005
- Data Last Updated
- May 23, 2018
NPI Details
- NPI Number
- 1457349417
- Status
- Active
- Taxonomy Code
- 2080P0206X
Data sourced from CMS NPPES public database. Last verified: May 23, 2018.
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