Individual
DR. KIMBERLY GINSBERG SMOAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10141 BIG BEND RD, SUITE 103, RIVERVIEW, FL 33578-7419
(813) 643-8300
(813) 443-8133
Mailing address
PO BOX 10744, CLEARWATER, FL 33757-8744
(727) 532-0002
(727) 266-4928
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME81602
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265797000
—
FL
Enumeration date
06/20/2005
Last updated
06/03/2016
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