Healthcare Provider Details

I. General information

NPI: 1952594467
Provider Name (Legal Business Name): HEATHER ARMSTRONG KIMPEL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2007
Last Update Date: 07/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1613 HARRISON PKWY STE 200
SUNRISE FL
33323-2853
US

IV. Provider business mailing address

5726 SW 103RD AVE
COOPER CITY FL
33328-6519
US

V. Phone/Fax

Practice location:
  • Phone: 800-437-2672
  • Fax:
Mailing address:
  • Phone: 954-434-3991
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME99442
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: