SMALL WORLD PEDIATRICS, P.A.
Medical Practice at Windguard Cir, Zephyrhills, FL

License number
Florida ME79938
Category
Medical Practice
Type
Pediatrics
Owner
Name: DR. JOSE DANIEL JIMENEZ MD M.D.
Title: OWNER MEDICAL DIRECTOR
Phone: (813) 907-8001
Address
Address 2
2527 Windguard Cir STE 102, Zephyrhills, FL 33544
PO Box 47957, Tampa, FL 33646
National Provider ID: 1922286426
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SMALL WORLD PEDIATRICS, PA

Zephyrhills, FL  -  Tampa, FL

Industry:
Medical Doctor's Office
Registration:
Jun 5, 2002
Addresses:
2527 Windguard Cir 102, Wesley Chapel, FL 33544 (Physical)
Tampa, FL 33646 (Mailing)
PO Box 47957, Tampa, FL 33646
2527 Windguard Cir, Zephyrhills, FL 33544
State ID:
P02000062266
Business type:
Florida Profit Corporation
S:
Jimenez, Jose D, M.d, 2527 Windguard Cir SUITE 102, Wesley Chapel, FL 33544 (Physical),Silva, Nancy M, M.d, PO Box 47957, Tampa, FL 33646 (Physical),Jose D. Jimenez,...
Agent:
Walker, Gary,202 S Rome Ave SUITE 100, Tampa, FL 33606 (Physical)
EIN:
30-0090138

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