Individual
MS. NORMA IVONNE JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3416 W 84TH ST, SUITE 100, HIALEAH, FL 33018-4933
(305) 826-9449
(305) 828-1255
Mailing address
3567 W 71ST TER, HIALEAH, FL 33018-7105
(786) 200-4232
(305) 394-6083
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
PA9101494
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291822600
—
FL
Enumeration date
03/01/2007
Last updated
09/25/2011
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