Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin M Boerner, PAC

Individual provider Surgical Physician Assistant · NPI 1457346959

Kevin M Boerner, PAC is a Surgical Physician Assistant in Celebration, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

410 Celebration Pl Ste 200
Celebration, FL 34747-5432
Phone: (407) 303-4673
Fax: (407) 398-0050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA1628 (FL)

Record details

NPI number1457346959
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedSeptember 12, 2005
Last updated in NPPESJanuary 14, 2014

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