Individual
JOSE F JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1350 13TH AVE S, JACKSONVILLE BEACH, FL 32250-3203
(904) 238-4147
Mailing address
PO BOX 160489, MIAMI, FL 33116-0489
(904) 238-4147
(866) 665-2702
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME50023
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
492876000
—
FL
Enumeration date
05/19/2006
Last updated
08/22/2014
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