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Organization

ERNESTO JIMENEZ, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERNESTO JIMENEZ M.D. (MD/OWNER)
(813) 977-5557
Entity
Organization

Contact information

Practice address
3000 E FLETCHER AVE, SUITE 350, TAMPA, FL 33613-4656
(813) 977-5557
(813) 972-9211
Mailing address
3000 E FLETCHER AVE, SUITE 350, TAMPA, FL 33613-4656
(813) 977-5557
(813) 972-9211

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME70856
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
250646700
FL
Enumeration date
06/04/2012
Last updated
06/22/2012
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