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NPI Code Detail

MEDICARE: JULIETT JIMENEZ

MEDICARE: JULIETT 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
1106S00000XBehavior TechnicianBACB985640FL

General Provider Information

NPI Number : 1841162708
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIETT JIMENEZ
Provider Business Mailing Address
First Line : 1019 PONCE AVE
Second Line :
City : ORLANDO
State : FL
Zip : 32822-8027
Country : US
Telephone Number : 407-412-1708
Fax Number :
Provider Business Practice Location Address
First Line : 4780 DATA CT
Second Line :
City : ORLANDO
State : FL
Zip : 32817-8331
Country : US
Telephone Number : 407-412-1708
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2025
Last Update Date : 10/24/2025

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Directions to “ JULIETT JIMENEZ ” Practice Location

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