Individual
ANTONIO MARTIN JIMENEZ JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 243-5302
Mailing address
1475 NW 12TH AVE, MIAMI, FL 33136-1002
(305) 243-5302
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125051409
IL
207RH0000X
Hematology (Internal Medicine) Physician
036-123422
IL
207RH0003X
Hematology & Oncology Physician
Primary
ME127975
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0173160-00
—
FL
Enumeration date
09/03/2008
Last updated
08/09/2016
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