| Jimenez Rodriguez General Practice Corp | |
|
3709 W Hamilton Ave Ste 8 Tampa FL 33614-4015 | |
| (813) 727-3500 | |
| Not Available |
| Full Name | Jimenez Rodriguez General Practice Corp |
|---|---|
| Speciality | General Practice |
| Location | 3709 W Hamilton Ave Ste 8, Tampa, Florida |
| Authorized Official Name and Position | Maria I Jimenez Rodriguez (PHYSICIAN) |
| Authorized Official Contact | 8137273500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jimenez Rodriguez General Practice Corp 3709 W Hamilton Ave Ste 8 Tampa FL 33614-4015 Ph: (813) 727-3500 | Jimenez Rodriguez General Practice Corp 3709 W Hamilton Ave Ste 8 Tampa FL 33614-4015 Ph: (813) 727-3500 |
| NPI Number | 1437640273 |
|---|---|
| Provider Enumeration Date | 05/29/2018 |
| Last Update Date | 05/12/2022 |
| Certification Date | 05/12/2022 |
| Medicare PECOS PAC ID | 8628324563 |
|---|---|
| Medicare Enrollment ID | O20180706000339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437640273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Maria I Jimenez Rodriguez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1437522844 PECOS PAC ID: 7517261035 Enrollment ID: I20170221002784 |
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