Individual ProviderSarah Brady Kimble, M.D.Family MedicineAllopathic & Osteopathic PhysiciansPractice Address13330 Usf Laurel Dr, Tampa, FL 33612(813) 974-2201PECOS EnrollmentBased on the most recent information from CMS, provider Sarah Brady Kimble is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1417310715Provider TypeIndividualFull NameKimble, Sarah BradyCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date4/4/2016Last Updated3/30/2021Contact InformationPractice LocationPractice Address13330 Usf Laurel Dr, Tampa, FL 33612Phone(813) 974-2201FaxUnlisted FaxMailing LocationMailing AddressPO Box 917770, Orlando, FL 32891-0001PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseME134001FloridaProvider IdentifiersIDDescriptionIssuerID4GH55DescriptionOtherIssuerBLUE CROSS BLUE SHIELDFloridaID103541800DescriptionMedicaidIssuerUnlistedFlorida