Individual
ANGELY JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5054
(850) 431-1155
Mailing address
161 RANCHO MIRAGE DR, KISSIMMEE, FL 34759-3692
(352) 519-2871
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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