Individual
KIMBERLY A REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9611 W BROWARD BLVD, PLANTATION, FL 33324-2334
(954) 424-7000
(954) 424-6003
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(954) 424-7000
(954) 424-6003
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9189688
FL
363LP0200X
Pediatric Nurse Practitioner
APRN9189688
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307991101
—
FL
Enumeration date
11/09/2006
Last updated
07/06/2023
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