SearchFlorida106S00000X

Kimberly Gibson

NPI 1912552324 · on the registry since 2019 · sole proprietor

Practice

Address
3030 Nw 21st Ct
Fort Lauderdale, FL 33311
Phone
(513) 780-3843

Registry record

Primary taxonomy
106S00000X
106S00000X
Also registered as
376K00000X
Licence states on file
OH, FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-04-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida