Individual
LAWRENCE CORONEL JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
760 EAST AVE BLDG 3911, PENSACOLA, FL 32508
(850) 452-8970
(850) 452-8978
Mailing address
1800 BROWN RD, PENSACOLA, FL 32508-7003
(619) 944-5641
(850) 452-8978
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
04/28/2013
Last updated
08/16/2018
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