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Organization
KIMMELCARE FAMILY PRACTICE PA
Active
Organization
KIMMELCARE FAMILY PRACTICE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MURRAY A KIMMEL DO (PRESIDENT)
(321) 757-0600
Entity
Organization
Contact information
Practice address
2230 N WICKHAM RD, SUITE B, MELBOURNE, FL 32935
(321) 757-0600
(321) 757-0690
Mailing address
2230 N WICKHAM RD, SUITE B, MELBOURNE, FL 32935
(321) 757-0600
(321) 757-0690
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02131
UNIVERSAL HEALTHCARE
FL
01
—
2001160
AETNA HMO
FL
01
—
27886
WELLCARE STAYWELL
FL
05
—
379144100
—
FL
01
—
4847751001
CIGNA
FL
01
—
5619422
AETNA PPO
FL
01
—
57253
BCBS
FL
Enumeration date
06/04/2006
Last updated
09/29/2022
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