IndividualActive
Amy Kimble
NPI 1780368258 · Licensed Practical Nurse · Longwood, FL
Provider details
- NPI number
- 1780368258
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- PN5182511 (FL)
Specialties & taxonomies
Nursing Service Providers
Practice location
651 W Warren Ave Ste 100
Longwood, FL 32750-4036
Phone: (877) 276-4982
Approximate (ZIP-level) locationGet directions
Mailing address
651 W Warren Ave Ste 100
Longwood, FL 32750-4036
Registry dates
- Enumerated
- 2023-06-14
- Last updated
- 2023-06-14
- Certified
- 2023-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.