Organization
LITTLE HOUSE PEDIATRICS L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANTIAGO A. JIMENEZ M.D. (MANAGAMENT MEMBER)
(407) 910-2340
Entity
Organization
Contact information
Practice address
8734 LEE VISTA BLVD, SUITE 400, ORLANDO, FL 32829-8022
(407) 910-2340
Mailing address
8734 LEE VISTA BLVD, SUITE 400, ORLANDO, FL 32829-8022
(407) 910-2340
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME65074
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008623200
—
FL
Enumeration date
03/01/2013
Last updated
10/14/2013
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