# RICHARD D KIMMEL DO FCCP PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316909278
- **Authorized official:** RICHARD D KIMMEL DO FCCP PA (PHYSICIAN)
- **Authorized official phone:** (561) 477-0210

## Contact information

- **Practice address:** 9980 CENTRAL PARK BLVD N, SUITE 316, BOCA RATON, FL 33428-1762
- **Practice address phone:** (561) 477-0210
- **Practice address fax:** (561) 470-0198
- **Mailing address:** 9980 CENTRAL PARK BLVD N, SUITE 316, BOCA RATON, FL 33428-1762
- **Mailing address phone:** (561) 477-0210
- **Mailing address fax:** (561) 470-0198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | OS 6191 | FL | Yes |

## Other

- **Enumeration date:** 04/05/2006
- **Last updated:** 02/12/2009