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NPI Code Detail

MEDICARE: KIMBERLY M AGUILAR

MEDICARE: KIMBERLY M AGUILAR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2363A00000XPhysician AssistantPA9119830FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669203915
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY M AGUILAR
Provider Business Mailing Address
First Line : 3301 W GANDY BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33611-2931
Country : US
Telephone Number : 813-925-1903
Fax Number : 813-749-8370
Provider Business Practice Location Address
First Line : 3301 W GANDY BLVD
Second Line :
City : TAMPA
State : FL
Zip : 33611-2931
Country : US
Telephone Number : 813-925-1903
Fax Number : 813-749-8370
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2024
Last Update Date : 05/18/2026

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Directions to “ KIMBERLY M AGUILAR ” Practice Location

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