Individual
LINCOLN M JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2130 E JOHNSON AVE STE 130, PENSACOLA, FL 32514-6065
(850) 494-6003
(850) 494-9636
Mailing address
2130 E JOHNSON AVE STE 130, PENSACOLA, FL 32514-6065
(850) 494-6003
(850) 494-9636
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
MD61014044
WA
207T00000X
Neurological Surgery Physician
Primary
ME116162
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0225733
—
OH
05
—
1003011339
—
WA
05
—
7100471960
—
KY
Enumeration date
06/18/2007
Last updated
06/29/2021
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