Organization
MICHAEL KIMMELMAN OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KIMMELMAN OD (PRESIDENT)
(954) 494-2004
Entity
Organization
Contact information
Practice address
2279 S UNIVERSITY DR, DAVIE, FL 33324-5828
(954) 473-0100
(954) 474-7832
Mailing address
2279 S UNIVERSITY DR, DAVIE, FL 33324-5828
(954) 473-0100
(954) 474-7832
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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