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Organization

VIP PAIN SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALEXIS A JIMENEZ MD (OWNER)
(904) 736-2335
Entity
Organization

Contact information

Practice address
905 PARK AVE STE 102, ORANGE PARK, FL 32073-4110
(904) 736-2335
(904) 736-2336
Mailing address
PO BOX 217, JACKSONVILLE, FL 32234-0217
(904) 736-2335
(904) 736-2336

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary

Other

Enumeration date
02/23/2022
Last updated
02/23/2022
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