Individual
KIMBERLY MANGABADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
15049 SW 9TH WAY, MIAMI, FL 33194-2475
(305) 335-3575
Mailing address
15049 SW 9TH WAY, MIAMI, FL 33194-2475
(305) 335-3575
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9289640
FL
Other
Enumeration date
11/05/2014
Last updated
09/17/2022
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