Organization
JIMENEZ DE PENA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAUL BOZA (PRESIDENT)
(305) 281-6066
Entity
Organization
Contact information
Practice address
8360 SW 8TH ST, MIAMI, FL 33144-4180
(305) 267-6165
(305) 267-6156
Mailing address
8360 SW 8TH ST, MIAMI, FL 33144-4180
(305) 267-6165
(305) 267-6156
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC4399
FL
Other
Enumeration date
12/29/2005
Last updated
08/08/2007
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