Provider Demographics
NPI:1861713943
Name:JIMENEZ, ROBERT ANTHONY (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ANTHONY
Last Name:JIMENEZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 1445
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33061-1445
Mailing Address - Country:US
Mailing Address - Phone:561-981-3793
Mailing Address - Fax:954-280-6788
Practice Address - Street 1:5901 COLONIAL DR
Practice Address - Street 2:SUITE 311
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5675
Practice Address - Country:US
Practice Address - Phone:561-483-3989
Practice Address - Fax:954-429-1759
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-12
Last Update Date:2016-10-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME106944208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery