Jimenez, Irisdane

Jimenez, Irisdane is an sole proprietor health care provider with primary practice located at 1176 Pelican Bay Dr , Daytona Beach FL 32119-1381. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Jimenez, Irisdane can be contacted via phone (386) 868-1992.

Contact Information

Primary practice address
1176 Pelican Bay Dr Daytona Beach FL 32119-1381
Phone: (386) 868-1992
Fax: (386) 868-1978
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1477984995
LBN Legal business name Jimenez, Irisdane
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2013
Last updated Aug 16th, 2021 - about 5 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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