Individual
KIMBERLY THERESA CAUDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
725 6TH AVE S STE 3200, ST PETERSBURG, FL 33701-4877
(727) 553-7431
(727) 553-7432
Mailing address
725 6TH AVE S STE 3200, ST PETERSBURG, FL 33701-4877
(727) 502-6572
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9121402
FL
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA9121402
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053275081
—
FL
Enumeration date
12/13/2025
Last updated
04/18/2026
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