Amigo, Kimberly Nicole

Amigo, Kimberly Nicole is an individual health care provider with primary practice located at 20801 Biscayne Blvd Ste 201 , Aventura FL 33180-1422. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Amigo, Kimberly Nicole can be contacted via phone (305) 682-2670.

Contact Information

Primary practice address
20801 Biscayne Blvd Ste 201 Aventura FL 33180-1422
Phone: (305) 682-2670
Fax: (305) 792-5232
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN11004309 Florida

Profile Details

NPI number 1124669635
LBN Legal business name Amigo, Kimberly Nicole
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2019
Last updated Aug 30th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124669635 NPPES
Florida MEDICAID 104727800

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