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NPI Code Detail

MEDICARE: YVANIA Y. JIMENEZ MAURI DDS

MEDICARE: YVANIA Y. JIMENEZ MAURI DDS
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
1122300000XDentistDN23019FL

Other Identifiers

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

General Provider Information

NPI Number : 1568821700
Entity Type Code : Individual
Provider Name (Legal Business Name) : YVANIA Y. JIMENEZ MAURI DDS
Provider Business Mailing Address
First Line : PO BOX 919771
Second Line :
City : ORLANDO
State : FL
Zip : 32891-9771
Country : US
Telephone Number : 239-278-3600
Fax Number :
Provider Business Practice Location Address
First Line : 19701 S TAMIAMI TRL
Second Line :
City : FORT MYERS
State : FL
Zip : 33908-4818
Country : US
Telephone Number : 239-314-1630
Fax Number : 239-425-6401
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2016
Last Update Date : 08/20/2021

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