Individual
ELTY CHIROLDE PIMIENTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
7540 CUTLASS AVE, NORTH BAY VILLAGE, FL 33141-4114
(786) 219-7035
Mailing address
7540 CUTLASS AVE, NORTH BAY VILLAGE, FL 33141-4114
(786) 219-7035
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
NJDCATEMP-038698
NJ
363L00000X
Nurse Practitioner
Primary
11028008
FL
Other
Enumeration date
03/13/2021
Last updated
08/15/2023
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