Jimenez, Raul

Jimenez, Raul is an individual health care provider with primary practice located at 2191 E Johnson Ave , Pensacola FL 32514-6029. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Jimenez, Raul can be contacted via phone (850) 494-3953.

Contact Information

Primary practice address
2191 E Johnson Ave Pensacola FL 32514-6029
Fax: (850) 494-3960
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME76619 Florida

Profile Details

NPI number 1588659395
LBN Legal business name Jimenez, Raul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Sep 23rd, 2008 - about 17 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 1588659395 NPPES
Florida MEDICAID 256946900

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