# KIMBERLY VAN SCRIVER MD PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** A Place for Women
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013183938
- **Authorized official:** KIMBERLY P VAN SCRIVER MD (OWNER)
- **Authorized official phone:** (904) 674-0022

## Contact information

- **Practice address:** 6817 SOUTHPOINT PKWY, SUITE 2204, JACKSONVILLE, FL 32216-6282
- **Practice address phone:** (904) 674-0022
- **Practice address fax:** (904) 425-0192
- **Mailing address:** 6817 SOUTHPOINT PKWY, SUITE 2204, JACKSONVILLE, FL 32216-6282
- **Mailing address phone:** (904) 674-0022
- **Mailing address fax:** (904) 425-0192

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME73993 | FL | Yes |

## Other

- **Enumeration date:** 04/30/2008
- **Last updated:** 04/28/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1205898517 | NPI | FL |
| 01 | — | 1386658144 | NPI | FL |
| 01 | — | 1477625457 | NPI | FL |