Jimenez, Carlos Alberto

Jimenez, Carlos Alberto is an sole proprietor health care provider with primary practice located at 251 Maitland Ave Ste 104 , Altamonte Springs FL 32701-4913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Jimenez, Carlos Alberto can be contacted via phone (407) 557-2165.

Contact Information

Primary practice address
251 Maitland Ave Ste 104 Altamonte Springs FL 32701-4913
Phone: (407) 557-2165
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X PA9100035 Florida

Profile Details

NPI number 1851443725
LBN Legal business name Jimenez, Carlos Alberto
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2007
Last updated May 6th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851443725 NPPES
Florida MEDICAID 290861100

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