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NPI Code Detail

MEDICARE: KIMBERLY WARREN

MEDICARE:   KIMBERLY  WARREN
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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPS63444FL

General Provider Information

NPI Number : 1245998608
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY WARREN
Provider Business Mailing Address
First Line : 2353 N UNIVERSITY DR
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33065-5121
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2353 N UNIVERSITY DR
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33065-5121
Country : US
Telephone Number : 954-757-6330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2021
Last Update Date : 12/02/2021

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Directions to “ KIMBERLY WARREN ” Practice Location

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