Individual
KIMBERLY MYERS CUDZIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
14547 BRUCE B DOWNS BLVD, SUITE C, TAMPA, FL 33613-2709
(813) 979-0440
(813) 355-5054
Mailing address
12470 TELECOM DR STE 300W, TEMPLE TERRACE, FL 33637-0904
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9249012
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003353100
—
FL
01
—
P01024265
RR MEDICARE
FL
Enumeration date
02/15/2011
Last updated
01/08/2020
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