Zimmerman, Kenneth Mark
Zimmerman, Kenneth Mark is an sole proprietor health care provider with primary practice located at 2900 Lakeland Highlands Rd , Lakeland FL 33803-4379. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Zimmerman, Kenneth Mark can be contacted via phone (863) 667-2711.Contact Information
Primary practice address
2900 Lakeland Highlands Rd
Lakeland FL 33803-4379
Phone: (863) 667-2711
Fax: (863) 667-1868
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PS0019320 | Florida |
Profile Details
| NPI number | 1093841108 |
|---|---|
| LBN Legal business name | Zimmerman, Kenneth Mark |
| Credentials | BACHOLER OF PHARMACY |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 25th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093841108 | NPPES |
| Florida | MEDICAID | 103999700 |
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