Individual
DR. JOSE DANIEL JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2527 WINDGUARD CIR, SUITE #102, WESLEY CHAPEL, FL 33544-7347
(813) 907-8001
(813) 907-5744
Mailing address
PO BOX 47957, TAMPA, FL 33647-0117
(813) 907-8001
(813) 907-5744
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME79938
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258877300
—
FL
Enumeration date
12/04/2006
Last updated
09/26/2016
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