Individual
DR. FERNANDO JOSE JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5139 LITTLE RD, NEW PORT RICHEY, FL 34655-1212
(813) 336-8478
Mailing address
143-3 CALLE 401, VILLA CAROLINA, CAROLINA, PR 00985-4022
(787) 200-5542
(787) 200-5543
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
2769
PR
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN 19685
FL
Other
Enumeration date
07/11/2007
Last updated
02/10/2025
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