Individual
KIMBERLY LOEBER SANTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 W DR MARTIN LUTHER KING, JR. BLVD, FOURTH FLOOR, B TOWER, MS 3060, TAMPA, FL 33607
(813) 510-7823
Mailing address
3001 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6307
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA667
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA667
STATE LICENSE
FL
Enumeration date
01/11/2021
Last updated
10/24/2022
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