Individual
LEISA M JIMENEZ-CORDERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
920 CYPRESS PKWY, KISSIMMEE, FL 34759-3456
(407) 313-9460
(833) 450-5416
Mailing address
425 W COLONIAL DR STE 303, ORLANDO, FL 32804-6863
(407) 956-1920
(689) 304-0303
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
24206
PR
208D00000X
General Practice Physician
Primary
ACN1713
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126583800
—
FL
01
—
ACN1713
FL MEDICAL LICENSE
FL
Enumeration date
12/03/2020
Last updated
04/13/2026
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