Provider Demographics
NPI:1851342885
Name:QUICK, KIMBERLY MILLER (MD)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:MILLER
Last Name:QUICK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:33863 US HIGHWAY 19 N
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-2643
Mailing Address - Country:US
Mailing Address - Phone:727-489-3406
Mailing Address - Fax:727-781-1315
Practice Address - Street 1:1840 MEASE DR
Practice Address - Street 2:#200
Practice Address - City:SAFETY HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34695-6602
Practice Address - Country:US
Practice Address - Phone:727-724-8611
Practice Address - Fax:727-781-1315
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME89409207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease