Individual
EDINEDA M JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6200 NW 62ND ST APT 308, TAMARAC, FL 33319-6252
(954) 648-6273
Mailing address
6200 NW 62ND ST APT 308, TAMARAC, FL 33319-6252
(954) 648-6273
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
47608
FL
Other
Enumeration date
01/27/2011
Last updated
01/27/2011
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