Jimenez, Anthony John

Jimenez, Anthony John is an individual health care provider with primary practice located at 403 S Kings Ave Ste 201 , Brandon FL 33511-5962. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Jimenez, Anthony John can be contacted via phone (813) 872-4992.

Contact Information

Primary practice address
403 S Kings Ave Ste 201 Brandon FL 33511-5962
Phone: (813) 872-4992
Fax: (813) 864-4030
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA3216 Florida

Profile Details

NPI number 1568426906
LBN Legal business name Jimenez, Anthony John
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Sep 5th, 2019 - about 7 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 1568426906 NPPES
Other 970022306 RAILROAD MEDICARE
MEDICAID 290370901 RAILROAD MEDICARE

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