Dr Nicole Jimenez, MD | |
65 Riley Rd, Kissimmee, FL 34747-5419 | |
(407) 635-3022 | |
(321) 230-4669 |
Full Name | Dr Nicole Jimenez |
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Gender | Female |
Speciality | Family Medicine |
Location | 65 Riley Rd, Kissimmee, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497334171 | NPI | - | NPPES |
120414400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME165440 (Florida) | Primary |
Entity Name | Lee Memorial Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992873319 PECOS PAC ID: 8729996608 Enrollment ID: O20031118000604 |
Entity Name | The Christian & Missionary Alliance Foundation, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821160607 PECOS PAC ID: 9739072232 Enrollment ID: O20040207000013 |
Mailing Address | Practice Location Address |
---|---|
Dr Nicole Jimenez, MD 65 Riley Rd, Kissimmee, FL 34747-5419 Ph: (407) 635-3022 | Dr Nicole Jimenez, MD 65 Riley Rd, Kissimmee, FL 34747-5419 Ph: (407) 635-3022 |
Alvaro Jose Altamirano, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 729 Buenaventura Blvd, Kissimmee, FL 34743 Phone: 407-344-9959 Fax: 407-344-9971 | |
Dr. Fiaz Md Afzal, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 Mann St, Teladoc Health Solutions Llc, Kissimmee, FL 34741 Phone: 647-773-9028 Fax: 407-785-3234 | |
Tolentino Tinoco, PA Family Medicine Medicare: Medicare Enrolled Practice Location: 931 W Oak St, Ste 103, Kissimmee, FL 34741 Phone: 407-931-0444 | |
Mrs. Derly Jean-noel, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3380 Wilderness Trl, Kissimmee, FL 34746 Phone: 407-973-9432 | |
Joseph Louis Torres, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 309 W Bass St, Kissimmee, FL 34741 Phone: 407-935-1192 Fax: 407-935-9386 | |
Dr. Aixa Zila Garcia, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1875 Fortune Rd, Kissimmee, FL 34744 Phone: 407-343-2000 Fax: 407-343-2002 | |
Latchman Sharma Hardowar, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2120 Michigan Avenue, Kissimmee, FL 34744 Phone: 407-483-8944 Fax: 407-483-8946 |