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

Individual provider Physician Assistant · NPI 1689009201

Peter Kimball, PA-C is a Physician Assistant in Jacksonville, Florida. Works from 3 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2401 Monument Rd
Jacksonville, FL 32225-2520
Phone: (904) 642-0337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 — (904) 953-2000
  • 4502 Medical Dr, San Antonio, TX 78229-4402 — (210) 358-2078

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9112110 (FL)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1689009201
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 13, 2013
Last updated in NPPESOctober 9, 2020
Certification dateOctober 9, 2020
Mailing address4500 San Pablo Rd S, Jacksonville, FL 32224-1865

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