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Individual

KIMALYN DUMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
6128 S TAMIAMI TRL, SARASOTA, FL 34231-4029
(941) 923-5882
(941) 923-3836
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
1077063
AL
363L00000X
Nurse Practitioner
Primary
ARNP9422997
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051552833
AL
01
33181
BCBS
FL
01
51515022
BCBS OF AL
AL
Enumeration date
11/16/2005
Last updated
03/01/2016
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