PORSCHA SHANTELL KIMBRO

ORANGE CITY, FL
NPI1831780014
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  11007402)
Enumeration Date2021-01-29
Last Update Date2021-01-29
Business Address
PORSCHA SHANTELL KIMBRO ARNP
1043 TOWN CENTER DR
ORANGE CITY, FL 32763-8360
Phone number: 386-774-0188
Mailing Address
PORSCHA SHANTELL KIMBRO ARNP
3030 GALAXY ST
DELTONA, FL 32738-7216
Phone number: 407-574-1776