Amador Jimenez, Damisela

Amador Jimenez, Damisela is an sole proprietor health care provider with primary practice located at 180 Sw 84Th Ave Ste B , Plantation FL 33324-2731. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Amador Jimenez, Damisela can be contacted via phone (954) 945-3510.

Contact Information

Primary practice address
180 Sw 84Th Ave Ste B Plantation FL 33324-2731
Phone: (954) 945-3510
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ARNP9393735 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9393735 Florida

Profile Details

NPI number 1124527734
LBN Legal business name Amador Jimenez, Damisela
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2018
Last updated Sep 10th, 2018 - 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 1124527734 NPPES
Florida Other ARNP9393735 DOH LICENSE

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