Organization
CYNTHIA A KIMBLE MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA A KIMBLE M.D. (PRACTICE OWNER)
(850) 877-4744
Entity
Organization
Contact information
Practice address
2451 CENTERVILLE RD, TALLAHASSEE, FL 32308-4417
(850) 877-4744
Mailing address
2451 CENTERVILLE RD, TALLAHASSEE, FL 32308-4417
(850) 877-4744
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0063139
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18756
MEDICARE ID-TYPE UNSPECIFIED
FL
Enumeration date
02/26/2015
Last updated
02/26/2015
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