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NPI Code Detail

MEDICARE: KIMBERLY SOFFLER A.R.N.P.

MEDICARE: KIMBERLY SOFFLER A.R.N.P.
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
1363L00000XNurse PractitionerARNP2056442FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00855558OTHERFLRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1K1951AOTHERFLBPC GROUP PTAN

General Provider Information

NPI Number : 1700938263
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY SOFFLER A.R.N.P.
Provider Business Mailing Address
First Line : 2014 UNIVERSITY BLVD W
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32217-2016
Country : US
Telephone Number : 904-733-9211
Fax Number : 904-733-9388
Provider Business Practice Location Address
First Line : 2014 UNIVERSITY BLVD W
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32217-2016
Country : US
Telephone Number : 904-733-9211
Fax Number : 904-733-9388
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2007
Last Update Date : 03/29/2011

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Directions to “ KIMBERLY SOFFLER A.R.N.P.” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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