Provider Demographics
NPI:1316362882
Name:ROSS, KIMBERLY C (MD, MBA)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:C
Last Name:ROSS
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Gender:F
Credentials:MD, MBA
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Mailing Address - Street 1:5200 NE 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-2706
Mailing Address - Country:US
Mailing Address - Phone:305-762-1387
Mailing Address - Fax:305-795-1851
Practice Address - Street 1:2700 SW 97TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-2675
Practice Address - Country:US
Practice Address - Phone:305-762-1387
Practice Address - Fax:305-795-1851
Is Sole Proprietor?:No
Enumeration Date:2014-02-20
Last Update Date:2021-11-22
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Provider Licenses
StateLicense IDTaxonomies
FLME132895208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation