Individual
DR. JAMES MARCUS JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12671 EMERALD COAST PKWY W UNIT 210, DESTIN, FL 32550-8304
(850) 837-4043
(850) 837-5245
Mailing address
12671 US HWY 98 WEST, SUITE 210, DESTIN, FL 32550-8304
(850) 837-4043
(850) 837-5245
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME82824
FL
2085R0204X
Vascular & Interventional Radiology Physician
ME82824
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000058867
IDTF
AL
01
—
051504364
IDTF
AL
Enumeration date
02/07/2006
Last updated
04/26/2022
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