Most Relevant Information
Provider Data
| NPI Number: | 1003385519 |
| Provider Name: | KIMEKA JOSEPH PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA9111618 |
Most Important Dates
| Enumeration Date: | 11/14/2018 |
| Last Updated: | 06/24/2022 |
Provider Practice Location
13001 SOUTHERN BLVD
LOXAHATCHEE
FL
334709203
Practice Location Phone/Fax
| Phone: | 5617983300 |
| Fax: |
Provider Mailing Location
3 MARYLAND FARMS STE 200
BRENTWOOD
TN
370275780
Provider Mailing Phone/Fax
| Phone: | 8003484565 |
| Fax: |