Jimenez, Luis A

Jimenez, Luis A is an individual health care provider with primary practice located at 6035 Sw 54Th St Suite 101, Ocala FL 34474-5519. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Jimenez, Luis A can be contacted via phone (352) 857-9132.

Contact Information

Primary practice address
6035 Sw 54Th St Suite 101 Ocala FL 34474-5519
Phone: (352) 857-9132
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME79518 Florida

Profile Details

NPI number 1144291386
LBN Legal business name Jimenez, Luis A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Sep 30th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144291386 NPPES
Florida Other V2459 BCBS
Florida MEDICAID 272789700 BCBS
Florida Other V2461 BCBS

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