Organization
PEDIATRICS PLAZA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANTIAGGO A JIMENEZ M.D. (PRESIDENT)
(407) 767-2428
Entity
Organization
Contact information
Practice address
178 WILSHIRE BLVD, CASSELBERRY, FL 32707-5352
(407) 767-2428
(407) 767-2457
Mailing address
178 WILSHIRE BLVD, CASSELBERRY, FL 32707-5352
(407) 767-2428
(407) 767-2457
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0065074
FL
Other
Enumeration date
01/05/2007
Last updated
08/22/2020
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