Individual
DR. JOSE ANTONIO URDANETA-JAIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1121 N CENTRAL AVE, SUITE B, KISSIMMEE, FL 34741-4405
(407) 933-1221
(407) 933-0747
Mailing address
1121 N CENTRAL AVE, SUITE B, KISSIMMEE, FL 34741-4405
(407) 933-1221
(407) 933-0747
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME84353
FL
207RP1001X
Pulmonary Disease Physician
ME84353
FL
Other
Enumeration date
01/26/2006
Last updated
11/02/2021
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