Individual
MIN KYUNG ZIMILEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13681 DOCTORS WAY, FORT MYERS, FL 33912-4300
(512) 730-3056
(888) 730-1925
Mailing address
7500 RIALTO BLVD STE 1-140, AUSTIN, TX 78735-8534
(512) 730-3056
(888) 730-1925
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME103926
FL
208M00000X
Hospitalist Physician
Primary
ME103926
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001306700
—
FL
01
—
P01380419
RR MEDICARE
FL
Enumeration date
01/31/2009
Last updated
03/08/2019
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