MEDICARE: KIMBERLY SINCLAIR

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	2255A2300X	Athletic Trainer	AL2973	FL

General Provider Information

NPI Number	:	1700272200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY SINCLAIR

Provider Business Mailing Address
First Line	:	2122 W CYPRESS CREEK RD STE 200
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-1866
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2122 W CYPRESS CREEK RD STE 200
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-1866
Country	:	US
Telephone Number	:	954-358-9414
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2015
Last Update Date	:	07/25/2023

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Directions to “ KIMBERLY SINCLAIR ” Practice Location

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