Individual
MS. MARY JO IMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1201 NW 16TH ST, MIAMI, FL 33125-1624
(305) 575-7000
(305) 575-3177
Mailing address
15721 SW 297TH ST, HOMESTEAD, FL 33033-3434
(786) 243-3020
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP2913622
FL
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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