Kimbro, Porscha Shantell

Kimbro, Porscha Shantell is an sole proprietor health care provider with primary practice located at 1043 Town Center Dr , Orange City FL 32763-8360. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kimbro, Porscha Shantell can be contacted via phone (386) 774-0188.

Contact Information

Primary practice address
1043 Town Center Dr Orange City FL 32763-8360
Phone: (386) 774-0188
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 11007402 Florida

Profile Details

NPI number 1831780014
LBN Legal business name Kimbro, Porscha Shantell
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2021
Last updated Jan 29th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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