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NPI Code Detail

MEDICARE: SABRINA JIMENEZ

MEDICARE: SABRINA JIMENEZ
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1710840681
Entity Type Code : Individual
Provider Name (Legal Business Name) : SABRINA JIMENEZ
Provider Business Mailing Address
First Line : 11315 CORPORATE BLVD STE 105
Second Line :
City : ORLANDO
State : FL
Zip : 32817-8340
Country : US
Telephone Number : 407-534-0186
Fax Number : 321-972-3982
Provider Business Practice Location Address
First Line : 11315 CORPORATE BLVD STE 105
Second Line :
City : ORLANDO
State : FL
Zip : 32817-8340
Country : US
Telephone Number : 407-534-0186
Fax Number : 321-972-3982
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2025
Last Update Date : 12/06/2025

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Directions to “ SABRINA JIMENEZ ” Practice Location

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