Individual
DR. KIM MARIE MAGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., MPT
Contact information
Practice address
6901 SIMMONS LOOP FL MS 80664, RIVERVIEW, FL 33578-9498
(813) 321-6237
(813) 463-1801
Mailing address
2995 DREW ST, CLEARWATER, FL 33759-3012
(727) 315-7496
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME117844
FL
208M00000X
Hospitalist Physician
Primary
ME117844
FL
225100000X
Physical Therapist
PT19643
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012647200
—
FL
01
—
14V1J
BLUE CROSS BLUE SHIELD
FL
05
—
887985100
—
FL
Enumeration date
02/07/2007
Last updated
11/02/2024
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