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Organization

KIMBERLY VAN SCRIVER MD PA

Active
Other names
A Place for Women
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY P VAN SCRIVER MD (OWNER)
(904) 674-0022
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME73993
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1205898517
NPI
FL
01
1386658144
NPI
FL
01
1477625457
NPI
FL
Enumeration date
04/30/2008
Last updated
04/28/2011
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