Organization
JORGE F PIMIENTA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESLY MARTELL (SECRETARY)
(305) 554-7575
Entity
Organization
Contact information
Practice address
11760 SW 40TH ST, SUITE 542, MIAMI, FL 33175-3582
(305) 554-7575
Mailing address
1421 SW 107TH AVE, #147, MIAMI, FL 33174-2526
(305) 554-7575
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME0067199
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376827900
—
FL
Enumeration date
12/13/2011
Last updated
12/13/2011
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