Healthcare Provider Details

I. General information

NPI: 1235665225
Provider Name (Legal Business Name): JEREMY AGUINALDO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JEREMY AGUINALDO MD, MPH, CPH

II. Dates (important events)

Enumeration Date: 05/11/2017
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4122 METRIC DR STE 800
WINTER PARK FL
32792-6809
US

IV. Provider business mailing address

4122 METRIC DR STE 800
WINTER PARK FL
32792-6809
US

V. Phone/Fax

Practice location:
  • Phone: 407-645-2577
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number80804
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: