Individual
LEYANIS JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN CPNP-PC
Contact information
Practice address
7950 NW 53RD ST, DORAL, FL 33166-4653
(786) 631-3222
Mailing address
9062 NW 177TH TER, HIALEAH, FL 33018-6690
(305) 926-0853
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
11029741
FL
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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