Individual
DIANA JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 SW 129TH AVE STE 201, PEMBROKE PINES, FL 33027-1716
(954) 430-9898
Mailing address
1 SW 129TH AVE STE 201, PEMBROKE PINES, FL 33027-1716
(954) 430-9898
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9115974
FL
Other
Enumeration date
12/26/2022
Last updated
12/26/2022
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