Individual
BOBBY JOE NEAL KIMBRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(904) 542-9596
Mailing address
315 DANIEL TRENT WAY, KINGSLAND, GA 31548-6098
(912) 409-5568
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
11009094
FL
Other
Enumeration date
09/22/2020
Last updated
11/27/2023
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