| Kymberli A Mumford-clarke, DDS | |
|
2804 Saint Johns Bluff Rd S Ste 200, Jacksonville, FL 32246-3778 | |
| (904) 493-1005 | |
| (904) 345-2961 |
| Full Name | Kymberli A Mumford-clarke |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 2804 Saint Johns Bluff Rd S Ste 200, Jacksonville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316965742 | NPI | - | NPPES |
| 075583400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN0015848 (Florida) | Primary |
| Entity Name | North Florida Rural Health Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912641341 PECOS PAC ID: 4082068168 Enrollment ID: O20230922001527 |
| Mailing Address | Practice Location Address |
|---|---|
| Kymberli A Mumford-clarke, DDS 2804 Saint Johns Bluff Rd S Ste 200, Jacksonville, FL 32246-3778 Ph: (904) 493-1005 | Kymberli A Mumford-clarke, DDS 2804 Saint Johns Bluff Rd S Ste 200, Jacksonville, FL 32246-3778 Ph: (904) 493-1005 |
Anthony Massaro, MD, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 7711 Baymeadows Rd E Ste 7, Jacksonville, FL 32256 Phone: 904-565-1505 | |
Romao Tormena Jr., Dentist Medicare: Not Enrolled in Medicare Practice Location: 5491 Dolphin Point Blvd, Jacksonville, FL 32211 Phone: 904-256-7854 | |
Dr. Syed-omair Ali, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8440 Blanding Blvd, Jacksonville, FL 32244 Phone: 904-525-8041 | |
Ms. Valerie J. V. Minor, DMS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2363 Dunn Ave, Jacksonville, FL 32218 Phone: 904-751-6030 Fax: 904-751-5828 | |
Dr. Kenneth A Mertz Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1722 University Blvd., Jacksonville, FL 32216 Phone: 904-253-1240 Fax: 904-727-6548 | |
Dr. Ronald Appleby, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 2080 Child St, Jacksonville, FL 32214 Phone: 904-542-3442 | |
Dr. Daniel Joseph Schellhase, DDS MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5435 Ortega Blvd, Ste 2, Jacksonville, FL 32210 Phone: 904-388-4600 |