Individual
KIMBERLY A SANFILIPPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RT
Contact information
Practice address
4721 E MOODY BLVD, BLDG 1 STE 103, BUNNELL, FL 32110-7705
(386) 586-1229
Mailing address
2 KASHGAR CT, PALM COAST, FL 32164-5699
(386) 313-3453
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
TT5834
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TT5834
STATE LICENSE
FL
Enumeration date
06/08/2007
Last updated
07/08/2007
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