Organization
KIDS CARE PEDIATRICS OF NW FL. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER M ZIMMERMAN M.D. (PRESIDENT)
(850) 995-0169
Entity
Organization
Contact information
Practice address
4622 SUMMERDALE BLVD, PACE, FL 32571
(850) 995-0169
(850) 995-2649
Mailing address
4622 SUMMERDALE BLVD, PACE, FL 32571
(850) 995-0169
(850) 995-2649
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0540
HEALTH FIRST NETWORK
FL
01
—
32936
BCBS OF FL
FL
01
—
590 96036
BCBS OF AL
FL
01
—
7960252
AETNA
FL
01
—
H8285
FIRST HEALTH
FL
Enumeration date
10/12/2006
Last updated
08/22/2020
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