Provider Demographics
NPI:1316813249
Name:JIMENEZ, DAYANA C (CPT)
Entity type:Individual
Prefix:
First Name:DAYANA
Middle Name:C
Last Name:JIMENEZ
Suffix:
Gender:F
Credentials:CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7039 CAMFIELD LANDING DR # A
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32222-1792
Mailing Address - Country:US
Mailing Address - Phone:954-471-3417
Mailing Address - Fax:
Practice Address - Street 1:7039 CAMFIELD LANDING DR # A
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32222-1792
Practice Address - Country:US
Practice Address - Phone:954-471-3417
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-16
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL20-1692Y13246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomyGroup - Single Specialty