Individual
DR. KIMBERLY L GOLLBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1174
MN
363L00000X
Nurse Practitioner
Primary
APRN11022149
FL
363LF0000X
Family Nurse Practitioner
R1713419
MN
Other
Enumeration date
05/19/2014
Last updated
12/22/2022
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