Individual
MARIE ALIXE KIMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 NW 43RD ST, SUITE#1, GAINESVILLE, FL 32607-6125
(352) 378-9100
(352) 378-9005
Mailing address
500 NW 43RD ST, SUITE #1, GAINESVILLE, FL 32607-6125
(352) 378-9100
(352) 378-9005
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME79445
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257987100
—
FL
01
—
440003789
RAILROAD MEDICARE
FL
01
—
49970
BLUE CROSS AND BLUE SHIEL
FL
Enumeration date
05/02/2006
Last updated
12/05/2014
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