Individual
DR. KIMBERLY A WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1157 GULF BREEZE PKWY, GULF BREEZE, FL 32561-4835
(850) 677-0737
Mailing address
1157 GULF BREEZE PKWY, GULF BREEZE, FL 32561-4835
(850) 677-0737
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9188450
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304536600
—
FL
Enumeration date
12/14/2005
Last updated
12/11/2012
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