Individual
JASON JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
7000 W PALMETTO PARK RD STE 110, BOCA RATON, FL 33433-3429
(561) 418-6000
Mailing address
2029 N UNIVERSITY DR, CORAL SPRINGS, FL 33071-6132
(954) 751-0000
(954) 697-9516
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY11972
FL
103TC0700X
Clinical Psychologist
Primary
PY11972
FL
Other
Enumeration date
09/06/2023
Last updated
02/03/2026
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