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Individual
DR. MARIO ALBERTO JIMENEZ
Active
Individual
DR. MARIO ALBERTO JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME114414
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022441000
—
FL
01
—
ME114414
MEDICAL DOCTOR
FL
Enumeration date
03/27/2010
Last updated
09/13/2024
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