Individual
KIMBERLY ANN MANCL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14071 METROPOLIS AVE, FORT MYERS, FL 33912-4330
(239) 694-7546
(239) 694-1571
Mailing address
14071 METROPOLIS AVE, FORT MYERS, FL 33912-4330
(239) 694-7546
(239) 694-1571
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME132443
FL
Other
Enumeration date
03/24/2013
Last updated
01/07/2020
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