Jimenez Jimenez, Antonio Martin

Jimenez Jimenez, Antonio Martin is an individual health care provider with primary practice located at 1475 Nw 12Th Ave , Miami FL 33136-1002. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Jimenez Jimenez, Antonio Martin can be contacted via phone (305) 243-5302.

Contact Information

Primary practice address
1475 Nw 12Th Ave Miami FL 33136-1002
Phone: (305) 243-5302
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125051409 Illinois
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 036-123422 Illinois
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X ME127975 Florida

Profile Details

NPI number 1558519603
LBN Legal business name Jimenez Jimenez, Antonio Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2008
Last updated Aug 9th, 2016 - about 8 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 1558519603 NPPES
Florida MEDICAID 0173160-00

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