Individual
DR. ASHLEY ZAK KIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
15508 W COLONIAL DR STE 102, WINTER GARDEN, FL 34787-9557
(407) 798-8880
(407) 798-8810
Mailing address
15508 W COLONIAL DR STE 102, WINTER GARDEN, FL 34787-9557
(954) 849-4656
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4399
FL
152WP0200X
Pediatric Optometrist
OPC 4399
FL
152WV0400X
Vision Therapy Optometrist
OPC 4399
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000236600
—
FL
Enumeration date
07/22/2008
Last updated
02/01/2022
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