Jimenez, Raul A.

Jimenez, Raul A. is an individual health care provider with primary practice located at 14100 Fivay Rd Ste 310, Hudson FL 34667-7180. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. Jimenez, Raul A. can be contacted via phone (727) 862-3202.

Contact Information

Primary practice address
14100 Fivay Rd Ste 310 Hudson FL 34667-7180
Phone: (727) 862-3202
Fax: (727) 862-2182
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X ME62750 Florida

Profile Details

NPI number 1649267923
LBN Legal business name Jimenez, Raul A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Feb 5th, 2019 - about 5 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 1649267923 NPPES
Other 72434 AVMED
MEDICAID 268702000 AVMED
Other 82440 AVMED

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