Individual
BERNICE MELISSA JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2822 W VIRGINIA AVE, TAMPA, FL 33607-6330
(813) 225-1583
Mailing address
18142 SANDY POINTE DR, TAMPA, FL 33647-3307
(813) 748-3709
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11002985
FL
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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