Organization
RICHARD D KIMMEL DO FCCP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD D KIMMEL DO FCCP PA (PHYSICIAN)
(561) 477-0210
Entity
Organization
Contact information
Practice address
9980 CENTRAL PARK BLVD N, SUITE 316, BOCA RATON, FL 33428-1762
(561) 477-0210
(561) 470-0198
Mailing address
9980 CENTRAL PARK BLVD N, SUITE 316, BOCA RATON, FL 33428-1762
(561) 477-0210
(561) 470-0198
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
OS 6191
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057435000
—
FL
Enumeration date
04/05/2006
Last updated
02/12/2009
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