Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Kimberly Anita Gore, PA-C

Individual provider Medical Physician Assistant · NPI 1700929296

Miss. Kimberly Anita Gore, PA-C is a Physician Assistant in San Antonio, Florida. Qualified in 1992, 34 years ago. Practices with Florida Hospital Physician Group Inc, a 932-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
34
Licensed in
FL
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

30115 County Road 52 Ste 101
San Antonio, FL 33576-8243
Phone: (813) 467-4244
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2919 W Swann Ave Ste 106, Tampa, FL 33609-4049 — (813) 930-2829
  • 6340 Fort King Rd, Zephyrhills, FL 33542-2531 — (813) 782-6116

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2625 (FL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA0002625 (FL)

Record details

NPI number1700929296
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 14, 2007
Last updated in NPPESMarch 8, 2024
Certification dateMarch 8, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Florida Hospital Physician Group Inc — 932 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare