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NPI Code Detail

MEDICARE: KIMBERLY NASSIF BSW

MEDICARE:   KIMBERLY  NASSIF  BSW
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1588375224
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY NASSIF BSW
Provider Business Mailing Address
First Line : 1928 PLUMAS WAY
Second Line :
City : ORLANDO
State : FL
Zip : 32824-7364
Country : US
Telephone Number : 407-421-4742
Fax Number :
Provider Business Practice Location Address
First Line : 1928 PLUMAS WAY
Second Line :
City : ORLANDO
State : FL
Zip : 32824-7364
Country : US
Telephone Number : 407-421-4742
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2022
Last Update Date : 12/13/2022

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Directions to “ KIMBERLY NASSIF BSW” Practice Location

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