Jimenez, Derek

Jimenez, Derek is an individual health care provider with primary practice located at 1619 Creighton Rd Ste 1 , Pensacola FL 32504-7152. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Jimenez, Derek can be contacted via phone (850) 444-4700.

Contact Information

Primary practice address
1619 Creighton Rd Ste 1 Pensacola FL 32504-7152
Phone: (850) 444-4700
Fax: (850) 434-8144
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD.30541 Alabama
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME97915 Florida

Profile Details

NPI number 1194846923
LBN Legal business name Jimenez, Derek
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Jul 21st, 2022 - about 2 years ago

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1194846923 NPPES
Florida MEDICAID 278621400
Florida Other MD.30541
Florida Other ME97915

Popular Providers