Individual
ANGELICA ROCIO JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1150 N 35TH AVE, SUITE 135, HOLLYWOOD, FL 33021-5424
(954) 265-6989
(954) 965-3599
Mailing address
5200 NE 2ND AVE, MIAMI, FL 33137-2706
(305) 751-8626
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A93472
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
ME95805
FL
208M00000X
Hospitalist Physician
ME95805
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2773210-00
—
FL
Enumeration date
09/13/2006
Last updated
03/29/2021
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