Individual
DR. KIMBERLY MICHELLE MOCKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(561) 797-5633
Mailing address
3863 1ST AVE S, ST PETERSBURG, FL 33711-1203
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
APRN11014623
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112837400
—
FL
01
—
SZMBJ
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/05/2021
Last updated
02/24/2022
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