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NPI Code Detail

MEDICARE: DR. MELISSA VALENTIN-JIMENEZ M.D.

MEDICARE: DR. MELISSA VALENTIN-JIMENEZ 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
1208000000XPediatrics PhysicianME111765FL

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 : 1972732592
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MELISSA VALENTIN-JIMENEZ M.D.
Provider Business Mailing Address
First Line : 706 E GRAND HWY
Second Line :
City : CLERMONT
State : FL
Zip : 34711-3708
Country : US
Telephone Number : 352-557-4965
Fax Number : 352-404-6955
Provider Business Practice Location Address
First Line : 706 E GRAND HWY
Second Line :
City : CLERMONT
State : FL
Zip : 34711-3708
Country : US
Telephone Number : 352-557-4965
Fax Number : 352-404-6955
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2009
Last Update Date : 07/20/2021

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