Individual
GLADYSBEL JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5132 MINTON RD NW, PALM BAY, FL 32907-1110
(321) 725-9595
Mailing address
8606 NW 35TH ST APT 3, CORAL SPRINGS, FL 33065-4329
(347) 485-3317
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24538
FL
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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