Individual
MARSELLA JIMENO-PERALTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1604 TOWN CENTER BLVD, WESTON, FL 33326-3640
(954) 349-2094
Mailing address
4105 SW 173RD AVE, MIRAMAR, FL 33029-5047
(754) 610-7728
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
11031504
FL
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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