Individual
CHAMONIX KINIMAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2001 KINGSLEY AVE, ORANGE PARK, FL 32073
(904) 639-2000
(904) 639-2015
Mailing address
23343 NW COUNTY ROAD 236, HIGH SPRINGS, FL 32643-9669
(904) 639-2000
(904) 639-2015
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME132002
FL
390200000X
Student in an Organized Health Care Education/Training Program
262217
NY
Other
Enumeration date
03/27/2015
Last updated
06/20/2019
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