Individual
KIMBERLY MARIE WEBB-MEADOWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
955 20TH AVE, VERO BEACH, FL 32960-4307
(772) 559-8309
(772) 492-9147
Mailing address
955 20TH AVE, VERO BEACH, FL 32960-4307
(772) 559-8309
(772) 492-9147
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
689036996
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
689036996
MEDWAIVER PROVIDER
FL
Enumeration date
10/20/2009
Last updated
10/20/2009
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