MEDICARE: KIMA CORPORATION

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
1	3336C0003X	Community/Retail Pharmacy	PH252	FL

General Provider Information

NPI Number	:	1699810663
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KIMA CORPORATION

Provider Business Mailing Address
First Line	:	2629 DAVIE BLVD
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-3029
Country	:	US
Telephone Number	:	954-583-9433
Fax Number	:	954-587-7863

Provider Business Practice Location Address
First Line	:	2629 DAVIE BLVD
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-3029
Country	:	US
Telephone Number	:	954-583-9433
Fax Number	:	954-587-7863

Authorized Official
Title or Position	:	STORE MANAGER
Name	:	JANIUS GOMEZ
Credential	:
Telephone Number	:	954-583-9433

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1700061140 — JULIO A. LLERA, D.D.S.,P.A.
Practice Location Address:

2607 DAVIE BLVD
FORT LAUDERDALE, FL
33312-3029

Practice Phone: 954-587-7111
Practice Fax: 954-587-7114

1619122876 — DR. JULIO ANTONIO LLERA D.D.S.
Practice Location Address:

2607 DAVIE BLVD
FORT LAUDERDALE, FL
33312-3029

Practice Phone: 954-587-7111
Practice Fax: 954-791-2314

1013213784 — DR. ANTONIO JULIO LLERA D.D.S
Practice Location Address:

2607 DAVIE BLVD
FT LAUDERDALE, FL
33312-3029

Practice Phone: 954-587-7111
Practice Fax:

1104217157 — BROWARD ADULT DAY CARE CENTER
Practice Location Address:

2615 DAVIE BLVD
FORT LAUDERDALE, FL
33312-3029

Practice Phone: 954-791-1611
Practice Fax: 954-688-2551

1265953756 — NEDELIS C. BUELA ARNP, AGNP
Practice Location Address:

2601 DAVIE BLVD
FORT LAUDERDALE, FL
33312-3029

Practice Phone: 754-216-2458
Practice Fax: 954-734-6750

1700396637 — BERMUDEZ MEDICAL GROUP, LLC.
Practice Location Address:

2601 DAVIE BLVD STE B
FORT LAUDERDALE, FL
33312-3029

Practice Phone: 305-300-5501
Practice Fax: 305-383-7408

Directions to “KIMA CORPORATION ” Practice Location

Language	Start Address	Practice Location

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.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.