Individual
EDGAR JIMENEZ TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1952 E OSCEOLA PKWY, KISSIMMEE, FL 34743-8626
(407) 978-6400
(407) 530-4326
Mailing address
1952 E OSCEOLA PKWY, KISSIMMEE, FL 34743-8626
(407) 692-1810
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000579
PR
Other
Enumeration date
02/20/2021
Last updated
02/20/2021
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