Individual
MRS. DAMISELA AMADOR JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
180 SW 84TH AVE STE B, PLANTATION, FL 33324-2731
(954) 945-3510
Mailing address
10550 NW 77TH CT, STE 308, HIALEAH GARDENS, FL 33016-2072
(305) 300-0791
(954) 607-5728
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ARNP9393735
FL
363LF0000X
Family Nurse Practitioner
Primary
ARNP9393735
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARNP9393735
DOH LICENSE
FL
Enumeration date
02/09/2018
Last updated
09/10/2018
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