MEDICARE: JAIME ALBERTO CARVAJAL ALBA 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
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207X00000X	Orthopaedic Surgery Physician	ME121370	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1902048655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAIME ALBERTO CARVAJAL ALBA M.D.

Provider Business Mailing Address
First Line	:	16966 CAGAN RIDGE BLVD # 220
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34714-9656
Country	:	US
Telephone Number	:	321-843-5851
Fax Number	:	321-842-0089

Provider Business Practice Location Address
First Line	:	16966 CAGAN RIDGE BLVD # 220
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34714-9656
Country	:	US
Telephone Number	:	321-843-5851
Fax Number	:	321-842-0089

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2009
Last Update Date	:	07/02/2024

Similar Medicare Providers

1487659421 — DR. PETER CORRENTI JR. DO
Practice Location Address:

16966 CAGAN RIDGE BLVD STE 200
CLERMONT, FL
34714-9656

Practice Phone: 321-841-6444
Practice Fax: 407-290-2118

1194901652 — JENNIFER ANN SCHULZ DPT
Practice Location Address:

16966 CAGAN RIDGE BLVD STE 230
CLERMONT, FL
34714-9656

Practice Phone: 352-386-9700
Practice Fax: 352-386-9701

1033401625 — NAHOMY CALIXTE MD
Practice Location Address:

16966 CAGAN RIDGE BLVD
CLERMONT, FL
34714-9656

Practice Phone: 352-536-8761
Practice Fax: 352-536-8768

1790339893 — ERNESTO MARTELL POLO PA-C
Practice Location Address:

16966 CAGAN RIDGE BLVD STE 220
CLERMONT, FL
34714-9656

Practice Phone: 321-843-5851
Practice Fax: 321-843-1673

1922609114 — JEANNINE CASTANEDA CALDERON PA-C
Practice Location Address:

16966 CAGAN RIDGE BLVD STE 220
CLERMONT, FL
34714-9656

Practice Phone: 321-843-5851
Practice Fax: 321-843-1673

1225606411 — PATRICK FLEISSNER RRT
Practice Location Address:

16966 CAGAN RIDGE BLVD
CLERMONT, FL
34714-9656

Practice Phone: 352-536-8821
Practice Fax:

Directions to “ JAIME ALBERTO CARVAJAL ALBA M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.