Individual
KIMBERLY SUE BOGGS-DUNNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA,BSN,CNOR
Contact information
Practice address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 295-5262
Mailing address
5820 SPRUCE CREEK WOODS DR, PORT ORANGE, FL 32127-0908
(386) 295-5262
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN1516732
FL
Other
Enumeration date
10/06/2008
Last updated
10/06/2008
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