Organization
PRIMED HEALTHCARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL JIMENEZ MD (PRESIDENT)
(407) 518-7999
Entity
Organization
Contact information
Practice address
302 WEST BASS ST, KISSIMMEE, FL 34741-5001
(407) 518-7999
(407) 518-9766
Mailing address
302 WEST BASS ST, KISSIMMEE, FL 34741-5001
(407) 518-7999
(407) 518-9766
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME0059612
FL
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251215700
—
FL
Enumeration date
08/25/2006
Last updated
04/30/2014
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