| Doctor Name: | MISS KATHY ANN ZIMMER |
| NPI Number: | 1023017704 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | PA9102562 |
| Business Practice Address: | 6550 N Federal Hwy Suite 512 Fort Lauderdale, FL - 333081404 |
| Business Phone Number: | 9542678777 |
| Business Fax Number: | 9547727801 |
| Mailing Address: | 6550 N Federal Hwy, Suite 512 FORT LAUDERDALE |
| State: | FL |
| Postal Code: | 333081404 |
| Phone Number: | 9542678777 |
| Fax Number: | 9547727801 |
| NPI Enumeration Date: | 07/15/2005 |
| NPI Last Update Date: | 09/27/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | PA9102562 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |