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Individual

OTONIEL JIMENEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AFRNP

Contact information

Practice address
2148 HACIENDA TER, WESTON, FL 33327-2237
(754) 244-2954
(954) 306-0455
Mailing address
4363 MAGNOLIA RIDGE DR, WESTON, FL 33331-5009
(754) 244-2954

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
9489531
FL
246ZC0007X
Surgical Assistant
07-265
FL

Other

Enumeration date
03/31/2009
Last updated
02/01/2021
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