Jimenez Gomez, Andres

Jimenez Gomez, Andres is an individual health care provider with primary practice located at 1951 Sw 172Nd Ave Ste 415 , Miramar FL 33029. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. Jimenez Gomez, Andres can be contacted via phone (954) 265-2423.

Contact Information

Primary practice address
1951 Sw 172Nd Ave Ste 415 Miramar FL 33029
Phone: (954) 265-2423
Fax: (954) 961-4860
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X ME137760 Florida

Profile Details

NPI number 1245594779
LBN Legal business name Jimenez Gomez, Andres
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2012
Last updated Aug 10th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245594779 NPPES
Florida MEDICAID 103285700

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