Individual
FRIDAH KIRIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
14546 OLD SAINT AUGUSTINE RD, BLDG 1 SUITE 317, JACKSONVILLE, FL 32258-5468
(904) 260-9445
(904) 260-0005
Mailing address
7015 A C SKINNER PKWY, SUITE 1, JACKSONVILLE, FL 32256-6932
(904) 363-2113
(904) 363-2606
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9273605
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020913300
—
FL
01
—
4WPVS
FLORIDA BLUE
FL
01
—
IY693Z
MEDICARE
FL
Enumeration date
05/11/2017
Last updated
06/12/2017
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