Individual
JAMIE KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
16301 FISHHAWK BLVD, LITHIA, FL 33547
(813) 681-3800
(813) 681-3883
Mailing address
16301 FISHHAWK BLVD, LITHIA, FL 33547
(813) 681-3800
(813) 681-3883
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9249224
FL
Other
Enumeration date
01/22/2008
Last updated
04/06/2015
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