Individual
GUILLERMO JESUS JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
9240 SW 72ND ST STE 241, MIAMI, FL 33173-3265
(305) 271-1919
(786) 271-1911
Mailing address
10810 SW 126TH AVE, MIAMI, FL 33186-3749
(786) 423-3357
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAT9108110
FL
363AM0700X
Medical Physician Assistant
Primary
PAT9108110
FL
Other
Enumeration date
09/04/2014
Last updated
04/27/2026
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