Jesus L Jimenez Barredo Md Pa | |
16520 Nw 77th Pl Miami Lakes FL 33016-3417 | |
(517) 944-1914 | |
(786) 558-4216 |
Full Name | Jesus L Jimenez Barredo Md Pa |
---|---|
Speciality | Family Medicine - Adult Medicine |
Location | 16520 Nw 77th Pl, Miami Lakes, Florida |
Authorized Official Name and Position | Jesus L Jimenez Barredo (PRESIDENT) |
Authorized Official Contact | 5179441914 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jesus L Jimenez Barredo Md Pa 16520 Nw 77th Pl Miami Lakes FL 33016-3417 Ph: (517) 944-1914 | Jesus L Jimenez Barredo Md Pa 16520 Nw 77th Pl Miami Lakes FL 33016-3417 Ph: (517) 944-1914 |
NPI Number | 1881970770 |
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Provider Enumeration Date | 10/24/2011 |
Last Update Date | 10/24/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881970770 | NPI | - | NPPES |
ME101359 | Other | FL | FLORIDA LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QA0505X | Family Medicine - Adult Medicine | ME101359 (Florida) | Primary |
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