Individual
YSIASMIS JACIMAR RODRIGUEZ MONTANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3159 SWEET ACRES PL, SAINT CLOUD, FL 34772-9025
(786) 343-2023
Mailing address
3159 SWEET ACRES PL, SAINT CLOUD, FL 34772-9025
(786) 343-2023
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
25-246
FL
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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