Marie Alixe Kima Pa

NPI 1114972361 - Internal Medicine - 207RI0200X

NPI Details
NPI 1114972361
Enumeration Date 05/24/2006
Last Updated 05/17/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARIE A MARIE
Position OWNER
Phone (352) 336-3992
Fax (352) 336-3668
Practice Location
6440 W NEWBERRY RD
SUITE 505
GAINESVILLE FL, 32605-4381, US
Phone (352) 336-3992
Fax (352) 336-3668
Business Location
6440 W NEWBERRY RD
SUITE 505
GAINESVILLE FL, 32605-4381, US
Phone (352) 336-3992
Fax (352) 336-3668
Toxanomy
Taxonomy Code 207RI0200X
License State Florida
License Number ME79445
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According to our database, Marie Alixe Kima Pa NPI is 1114972361, taxonomy code is 207RI0200X and license number is ME79445, license state is located at Florida. Marie Alixe Kima Pa physically located at 6440 W Newberry Rd, Gainesville FL, 32605-4381. NPI Number 1033115704 has the healthcare provider type.

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1114972361 NPI number is provided on an as is basis without warranty of any kind. 1114972361 is maintained by the National Plan & Provider Enumeration System. The contents of Marie Alixe Kima Pa are for informational purposes only.