Individual
MRS. ILMARY DE LOS ANGELES JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
11460 PINES BLVD, PEMBROKE PINES, FL 33026-4128
(305) 500-2000
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(305) 500-2000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
11009371
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
11009371
FL
Other
Enumeration date
09/25/2020
Last updated
09/22/2022
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