KIMBERLY MANGUM

LAKE MARY, FL
NPI1437913712
Former NameKIMBERLY ANN BARNES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  APRN11030653)
Additional Taxonomies207Q00000X Family Medicine
(Licence: FL  11030653)
Enumeration Date2024-02-07
Last Update Date2024-02-26
Business Address
KIMBERLY MANGUM APRN
725 RODEL CV
LAKE MARY, FL 32746-4859
Phone number: 407-635-3023
Mailing Address
KIMBERLY MANGUM APRN
303 HICKORY DR
LONGWOOD, FL 32779-2423
Phone number: 407-451-8228