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Individual
DR. DEREK JIMENEZ
Active
Individual
DR. DEREK JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
MD.30541
AL
207RN0300X
Nephrology Physician
Primary
ME97915
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278621400
—
FL
01
—
MD.30541
ALABAMA MEDICAL LICENSURE
AL
01
—
ME97915
MEDICAL LICENSE
FL
Enumeration date
04/02/2007
Last updated
07/21/2022
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