Provider Demographics
NPI:1245566140
Name:KEMERER, VEETTA LYNNE (PA)
Entity Type:Individual
Prefix:
First Name:VEETTA
Middle Name:LYNNE
Last Name:KEMERER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2737 SW 11TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-4701
Mailing Address - Country:US
Mailing Address - Phone:305-643-0224
Mailing Address - Fax:
Practice Address - Street 1:1500 NW 12TH AVE STE 1101
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1052
Practice Address - Country:US
Practice Address - Phone:305-689-4516
Practice Address - Fax:305-545-5565
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-27
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA 9100263363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant