Provider Demographics
NPI:1720976392
Name:CARVALHO JIMENEZ, ANDRESA APARECIDA (FNP)
Entity type:Individual
Prefix:
First Name:ANDRESA
Middle Name:APARECIDA
Last Name:CARVALHO JIMENEZ
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8401 W SAMPLE RD APT 39
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-4650
Mailing Address - Country:US
Mailing Address - Phone:954-708-3440
Mailing Address - Fax:
Practice Address - Street 1:3402 N ANDREWS AVENUE EXT
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-2067
Practice Address - Country:US
Practice Address - Phone:954-368-1302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF06251114207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine