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NPI Code Detail

MEDICARE: KIMBERLY FERRANTE CALIFORNIA PA-C

MEDICARE: KIMBERLY FERRANTE CALIFORNIA PA-C
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1760954812
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY FERRANTE CALIFORNIA PA-C
Provider Business Mailing Address
First Line : 624 SW 9TH ST
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33315-3832
Country : US
Telephone Number : 954-701-8907
Fax Number :
Provider Business Practice Location Address
First Line : 5000 W OAKLAND PARK BLVD
Second Line :
City : LAUDERDALE LAKES
State : FL
Zip : 33313-1585
Country : US
Telephone Number : 954-735-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2018
Last Update Date : 12/28/2018

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Directions to “ KIMBERLY FERRANTE CALIFORNIA PA-C” Practice Location

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