Organization
IMAGINE PEDIATRICS OF FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND JIMINEZ (GENERAL MANAGER)
(833) 208-7770
Entity
Organization
Contact information
Practice address
3109 W DR MARTIN LUTHER KING JR BLVD STE 350, TAMPA, FL 33607-6208
(833) 208-7770
Mailing address
PO BOX 34103, BELFAST, ME 04915-0619
(833) 208-7770
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
133V00000X
Registered Dietitian
—
—
183500000X
Pharmacist
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
363LP0222X
Critical Care Pediatric Nurse Practitioner
—
—
Other
Enumeration date
10/19/2022
Last updated
08/18/2025
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