Individual
KIMBERLY PEYNADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6820 W SUNRISE BLVD, PLANTATION, FL 33313-4570
(954) 583-3011
Mailing address
5011 LILY WAY, DAVIE, FL 33314-3921
(561) 501-3662
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
FL
251E00000X
Home Health Agency
—
FL
251J00000X
Nursing Care Agency
—
FL
253Z00000X
In Home Supportive Care Agency
—
FL
261QA0600X
Adult Day Care Clinic/Center
—
FL
261QC1500X
Community Health Clinic/Center
—
FL
261QD1600X
Developmental Disabilities Clinic/Center
—
FL
310400000X
Assisted Living Facility
—
FL
3747A0650X
Attendant Care Provider
—
FL
3747P1801X
Personal Care Attendant
—
FL
385HR2065X
Child Physical Disabilities Respite Care
Primary
—
FL
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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