Individual
LEIDYS MIRIANNY JIMENEZ DE VIVIECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
9175 SW 63RD CT, PINECREST, FL 33156-1854
(786) 681-3548
Mailing address
9175 SW 63RD CT, PINECREST, FL 33156-1854
(786) 681-3548
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
25-424
FL
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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