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Individual

DR. ANGEL R CANCEL-JIMENEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
700 W OAK ST, DEPT OF ANESTHESIA, KISSIMMEE, FL 34741
(407) 846-2266
Mailing address
1613 HARRISON PKWY, STE. 200, SUNRISE, FL 33323-2896
(800) 437-2672
(954) 616-3591

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME106141
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002349000
FL
01
148VN
BLUE CROSS BLUE SHIELD FLORIDA
FL
Enumeration date
03/29/2006
Last updated
10/20/2015
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