Individual
KIMBERLY BLANCH MIEDEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 219-1890
Mailing address
275 SW BENJAMIN PL, FORT WHITE, FL 32038-3003
(352) 219-1890
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RT12144
FL
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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