Individual
DR. KIMBERLY W GASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC, MD
Contact information
Practice address
6067 HOLLYWOOD BLVD STE 203, HOLLYWOOD, FL 33024-7922
(309) 370-7427
Mailing address
6067 HOLLYWOOD BLVD STE 203, HOLLYWOOD, FL 33024-7922
(309) 370-7427
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
ME168965
FL
208D00000X
General Practice Physician
Primary
ME168965
FL
Other
Enumeration date
06/09/2006
Last updated
09/13/2024
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