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Individual

KIMBERLEY JEAN BOOSALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C-AA

Contact information

Practice address
3231 MCMULLEN BOOTH RD, SAFETY HARBOR, FL 34695
(727) 725-6111
Mailing address
PO BOX 100254, GAINESVILLE, FL 32610-0254
(352) 273-8610

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA211
FL

Other

Enumeration date
12/19/2013
Last updated
02/22/2021
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