Individual
CARLA NUNEZ DE JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1515 S NOVA RD, DAYTONA BEACH, FL 32114-5815
(386) 947-9318
Mailing address
1515 S NOVA RD, DAYTONA BEACH, FL 32114-5815
(386) 947-9318
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN31724
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NJ
Other
Enumeration date
05/04/2026
Last updated
06/08/2026
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