Individual
MISS KATHY ANN ZIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6550 N FEDERAL HWY, SUITE 512, FORT LAUDERDALE, FL 33308-1404
(954) 267-8777
(954) 772-7801
Mailing address
6550 N FEDERAL HWY, SUITE 512, FORT LAUDERDALE, FL 33308-1404
(954) 267-8777
(954) 772-7801
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9102562
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U4514Y
MEDICARE PROVIDER NUMBER
FL
Enumeration date
07/15/2005
Last updated
09/27/2007
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