LAWRENCE CORONEL JIMENEZ - NPI 1679917033 - Military Health Care Provider in Pensacola, FL

Q: What is Lawrence Jimenez's NPI number?

The NPI number for Lawrence Jimenez is 1679917033. It was assigned to this individual provider in the NPPES registry on April 28, 2013.

Q: What is Lawrence Jimenez's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Lawrence Jimenez was last updated on August 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Lawrence Coronel Jimenez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAWRENCE CORONEL JIMENEZ (NPI 1679917033) is an individual independent duty corpsman provider in Pensacola, Florida and active in the NPI registry since April 2013. He maintains a secondary practice location in Fpo.

NPPES Registry Identity

NPI1679917033

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameLAWRENCE CORONEL JIMENEZ

Location Address760 EAST AVE BLDG 3911Pensacola, FL 32508

Mailing Address1800 Brown RdPensacola, FL 32508-7003 · (619) 944-5641 · Fax (850) 452-8978

Phone(850) 452-8970

Fax(850) 452-8978

Sole ProprietorYes

Enumeration DateApril 28, 2013

Last NPPES UpdateAugust 16, 20183 updates tracked since enumeration

✔ NPI 1679917033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

760 EAST AVE BLDG 3911, Pensacola, FL 32508

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Secondary Practice Location 1

Location 1psc 466 box 3FPO, AP 96595-0001 · Phone 0112463704255

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNE DAVIDSON WARD MD

General Practice