Kimberly Wroblewski, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9104727 Issued in FL

Practice address

6240 Coral Ridge Dr
Suite 105
Coral Springs, FL 33076-3389

Phone

(954) 340-5311

NPI assigned

Dec 31, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262217600000",
    "number": "1083944797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 CORAL RIDGE DR",
            "address_2": "SUITE 105",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763389",
            "telephone_number": "954-340-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 CORAL RIDGE DR",
            "address_2": "SUITE 105",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763389",
            "telephone_number": "954-340-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WROBLEWSKI",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-31",
        "last_updated": "2009-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9104727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariel Woytanowski, DMD
• Loriane Nadine Wray
• Krystle T Wright-Silas
• Jessica Wright
• Stefanie Michelle Wright, M.S., CCC-SLP
• WTJ and Associates
• Jason Wynn
• Qian Xia, A.P., D. O. M.
• Poonam Yadav
• Alexander Yadegari, DMD

• Medical Physician Assistant in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.