Kimberly Anne Ifill in Labelle - Surgical
Kimberly Anne Ifill - NPI 1992755714
Kimberly Anne Ifill is a Surgical in Labelle, Florida. Kimberly Anne Ifill practices all healthcare services and medical treatments related to Surgical. The NPI Number for Kimberly Anne Ifill is 1992755714. The last update date is 2022-08-09.
Kimberly Anne Ifill's current location address is 1387 Grassy Run, Labelle, Florida. You can contact this provider via phone number 7862180963 and fax number 5612539175. The mailing address for Kimberly Anne Ifill is 1387 Grassy Run, Labelle, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Anne Ifill |
|---|---|
| Address | 1387 Grassy Run, Labelle, Florida |
| Phone Number | 7862180963 |
| Fax Number | 5612539175 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1992755714 |
|---|---|
| Provider Enumeration Date | 2006-05-11 |
| Last Updated Date | 2022-08-09 |
Provider Mailing Address Detail
| Address | 1387 Grassy Run |
|---|---|
| City | Labelle |
| State | Florida (FL) |
| Post Code | 33935 |
| Phone Number | 7862180963 |
| Fax Number | 5612539175 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA9102435 |
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Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PA9102435 | FL | LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Kimberly Anne Ifill?
The Kimberly Anne Ifill has been issued the NPI (National Provider Identifier) 1992755714 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Kimberly Anne Ifill's physical address?
The Kimberly Anne Ifill is physically located at 1387 Grassy Run, in the city of Labelle, FL, with the postal code 33935.
What is the Kimberly Anne Ifill's specialty and taxonomy code?
The Kimberly Anne Ifill's specialty is Surgical, and the corresponding taxonomy code is 363As0400X.
When did Kimberly Anne Ifill receive its 1992755714 assignment?
The Kimberly Anne Ifill was assigned its 1992755714 on 2006-05-11, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Kimberly Anne Ifill, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kimberly Anne Ifill, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-08-09.