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Individual

DR. CASEY JIMENEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12323 W COLONIAL DR STE 140, WINTER GARDEN, FL 34787-4178
(407) 318-7888
(407) 236-1918
Mailing address
12323 W COLONIAL DR STE 140, WINTER GARDEN, FL 34787-4178
(407) 318-7888
(407) 236-1918

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME98158
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
279402100
FL
Enumeration date
09/09/2005
Last updated
03/02/2025
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