Healthcare Provider Details

I. General information

NPI: 1457215378
Provider Name (Legal Business Name): JIMENEZ & NAZARIO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 SOUTH COLLINS ST PLANT CITY FL 33563
PLANT CITY FL
33563
US

IV. Provider business mailing address

302 SOUTH COLLINS ST PLANT CITY FL 33563
PLANT CITY FL
33563
US

V. Phone/Fax

Practice location:
  • Phone: 813-848-0041
  • Fax:
Mailing address:
  • Phone: 813-848-0041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. FRANCES DENISSE JIMENEZ MALDONADO
Title or Position: MANAGER
Credential:
Phone: 813-848-0041