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NPI Code Detail

MEDICARE: DR. JEHAD GEORGE NIMEH M.D.

MEDICARE: DR. JEHAD GEORGE NIMEH M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianME74495FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114916541
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEHAD GEORGE NIMEH M.D.
Provider Business Mailing Address
First Line : 9400 TURKEY LAKE RD
Second Line :
City : ORLANDO
State : FL
Zip : 32819-8001
Country : US
Telephone Number : 321-843-5500
Fax Number : 321-843-5550
Provider Business Practice Location Address
First Line : 9400 TURKEY LAKE RD
Second Line :
City : ORLANDO
State : FL
Zip : 32819-8001
Country : US
Telephone Number : 321-843-5500
Fax Number : 321-843-5550
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2005
Last Update Date : 03/01/2021

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