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Individual

JIMMY ARMANDO SAN MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1453 NW 153RD AVE, PEMBROKE PINES, FL 33028-2451
(786) 317-6692
Mailing address
1453 NW 153RD AVE, PEMBROKE PINES, FL 33028-2451
(786) 317-6692

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4621
FL

Other

Enumeration date
08/04/2025
Last updated
08/04/2025
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