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Organization

MAURIN JIMENEZ MD PA

Active
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Organization

MAURIN JIMENEZ MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MAURIN JIMENEZ MD (PRESIDENT)
(786) 619-3360
Entity
Organization

Contact information

Practice address
962 SW 82ND AVE, MIAMI, FL 33144-4271
(786) 619-3360
(786) 619-3360
Mailing address
962 SW 82ND AVE, MIAMI, FL 33144-4271
(786) 619-3360
(786) 619-3360

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME95052
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275404500
—
FL
01
—
53011
BLUE CROSS, BLUE SHIELD
FL
01
—
9021195
AETNA
FL
Enumeration date
02/16/2015
Last updated
08/15/2016
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