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Individual

KIMBERLY LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2950 NW 62ND ST STE 122, FORT LAUDERDALE, FL 33309-1702
(954) 361-0045
Mailing address
101 SE DWIGHT AVE, PORT ST LUCIE, FL 34983-2605
(954) 366-8636

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Enumeration date
08/08/2019
Last updated
09/06/2023
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