Organization Active NPI

Kimberly D Moskowitz Ms MD LLC

  • Internal Medicine Physician
  • Panama City Beach, FL
National Provider Identifier
1164602272
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME92500 Issued in FL
Legal business name
KIMBERLY D MOSKOWITZ MS MD LLC
Practice address
12238 Panama City Beach Pkwy
Panama City Beach, FL 32407-2700
Phone
(850) 233-0264
NPI assigned
Nov 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Ms. Kimberly D Moskowitz, MD
Title
MD
Phone
(850) 233-0264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME92500 FL Primary

Addresses

Primary practice location

12238 Panama City Beach Pkwy
Panama City Beach, FL 32407-2700

Mailing address

12238 Panama City Beach Pkwy
Panama City Beach, FL 32407-2700
Phone (850) 233-0264

Other identifiers 1

IdentifierTypeStateIssuer
07753OtherFLBCBS OF FLORIDA

National Provider Directory

National Provider Directory

Locations

651 Grand Panama Blvd
Ste 102
Panama City Beach, FL 32407
Phone (850) 233-0264

12238 Panama City Beach Pkwy
Panama City Beach, FL 32407
Phone (850) 233-0264

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1164602272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12238 PANAMA CITY BEACH PKWY",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324072700",
            "telephone_number": "850-233-0264",
            "fax_number": "850-233-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12238 PANAMA CITY BEACH PKWY",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324072700",
            "telephone_number": "850-233-0264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY D MOSKOWITZ MS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "MOSKOWITZ",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "850-233-0264",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME92500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "07753",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.