Individual
DR. JENIFER EIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4200 NW 90TH BLVD, GAINESVILLE, FL 32606-3809
(352) 378-2121
Mailing address
9444 SW 27TH RD, GAINESVILLE, FL 32608-7969
(954) 232-6757
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A11323
CA
207Q00000X
Family Medicine Physician
OS8792
FL
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
OS8792
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A11323
STATE LICENSE
CA
01
—
OS8792
FLORIDA STATE LICENSE
—
01
—
U6143A
MEDICARE SUPPLIER NUMBER
FL
Enumeration date
02/09/2006
Last updated
06/06/2025
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