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Individual

DR. JENNIFER MIJARES ZIMMERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4435 U.S.90, PACE, FL 32571-1368
(850) 436-4630
(850) 995-2649
Mailing address
4453 US 90, PACE, FL 32571-8636
(850) 436-4630
(850) 995-2649

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0075074
FL
208000000X
Pediatrics Physician
ME75074
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1250003
UNITED HEALTHCARE
FL
05
251846500
FL
01
32936
BCBS OF FL
FL
01
7960252
AETNA
FL
01
96036
BCBS OF AL
AL
01
A504
HEALTH FIRST NETWORK
FL
01
H8285
FIRST HEALTH
FL
Enumeration date
02/24/2006
Last updated
08/17/2018
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