Jerry Wimberly Valid NPI
Individual provider · Contractor · North Miami, FL
- NPI
- 1831361179
- Type
- Individual (Type 1)
- Primary specialty
- Contractor
- Specialty group
- Other Service Providers
- Taxonomy code
- 171W00000X
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2008-03-27
- Last updated
- 2008-03-27
Practice location
12110 Ne Miami Ct
North Miami, FL 33161-5354
(305) 685-3796