Organization
SMALL WORLD PEDIATRICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE DANIEL JIMENEZ MD M.D. (OWNER MEDICAL DIRECTOR)
(813) 907-8001
Entity
Organization
Contact information
Practice address
2527 WINDGUARD CIR, STE 102, WESLEY CHAPEL, FL 33544-7347
(813) 907-8001
(813) 907-5744
Mailing address
PO BOX 47957, TAMPA, FL 33646
(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
05
—
259225800
—
FL
Enumeration date
02/06/2008
Last updated
09/26/2016
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