Individual
LESTER PABLO RUIZ JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1475 W OKEECHOBEE RD, HIALEAH, FL 33010-2860
(786) 542-5000
(786) 542-5382
Mailing address
1475 W OKEECHOBEE RD, HIALEAH, FL 33010-2860
(786) 542-5000
(786) 542-5382
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH28080
FL
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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