Individual
DIANA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1455 NW 107TH AVE, SUITE 790, DORAL, FL 33172-2711
(786) 224-8866
Mailing address
1455 NW 107TH AVE, SUITE 790, DORAL, FL 33172-2711
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5145
FL
Other
Enumeration date
10/12/2015
Last updated
08/02/2016
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