Individual
MR. RAUL JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2191 E JOHNSON AVE, PENSACOLA, FL 32514-6029
(850) 494-3953
(850) 494-3960
Mailing address
2191 E JOHNSON AVE, PENSACOLA, FL 32514-6029
(850) 494-3953
(850) 494-3960
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME76619
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256946900
—
FL
Enumeration date
09/19/2005
Last updated
09/23/2008
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