Individual
DR. DEREK JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1619 CREIGHTON RD STE 1, PENSACOLA, FL 32504-7152
(850) 444-4700
(850) 434-8144
Mailing address
PO BOX 11037, PENSACOLA, FL 32524-1037
(850) 444-7000
(850) 444-7497
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
MD.30541
AL
207RN0300X
Nephrology Physician
Primary
ME97915
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278621400
—
FL
01
—
MD.30541
ALABAMA MEDICAL LICENSURE
AL
01
—
ME97915
MEDICAL LICENSE
FL
Enumeration date
04/02/2007
Last updated
07/21/2022
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