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Contact Information

ANGELICA R JIMENEZ, MD
1150 N 35TH AVE
SUITE 135
HOLLYWOOD, FL33021-5424
 Phone: 954-265-6989
 Fax: 954-965-3599
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for ANGELICA R JIMENEZ · (Female)

NPI # 1013012566
Status Active
Credentials MD
Entity Individual
Enumeration date 09/13/2006
Last updated 03/29/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A93472
  • FL License # ME95805
  • FL Medicaid 2773210-00
Hospital affiliation(s)
  • JACKSON MEMORIAL HOSPITAL - (Acute Care)
    1611 NW 12TH AVE
    MIAMI, FL 33136
  • MEMORIAL HOSPITAL WEST - (Acute Care)
    703 N FLAMINGO RD
    PEMBROKE PINES, FL 33028
  • MOUNT SINAI MEDICAL CENTER - (Acute Care)
    4300 ALTON RD
    MIAMI BEACH, FL 33140
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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