Individual
DR. LUIS A JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6035 SW 54TH ST, SUITE 101, OCALA, FL 34474-5519
(352) 857-9132
Mailing address
6035 SW 54TH ST, SUITE 101, OCALA, FL 34474-5519
(352) 857-9132
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME79518
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272789700
—
FL
01
—
V2459
BCBS
FL
01
—
V2461
BCBS
FL
Enumeration date
01/27/2006
Last updated
09/30/2016
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