Individual
KIMBERLY SOFFLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
2014 UNIVERSITY BLVD W, JACKSONVILLE, FL 32217-2016
(904) 733-9211
(904) 733-9388
Mailing address
2014 UNIVERSITY BLVD W, JACKSONVILLE, FL 32217-2016
(904) 733-9211
(904) 733-9388
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP2056442
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K1951A
BPC GROUP PTAN
FL
01
—
P00855558
RR MEDICARE
FL
Enumeration date
01/17/2007
Last updated
03/29/2011
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