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Individual

MISS ANA MICHELLE JIMENEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5975 SUNSET DR STE 103, SOUTH MIAMI, FL 33143-5198
(305) 666-4044
Mailing address
5975 SUNSET DR STE 103, SOUTH MIAMI, FL 33143-5198
(786) 428-4075

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
PA9112647
FL
363A00000X
Physician Assistant
Primary
PA9112647
FL

Other

Enumeration date
10/01/2019
Last updated
09/15/2022
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