DR. JENNIFER MIJARES ZIMMERMAN (NPI# 1134195613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134195613 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER MIJARES ZIMMERMAN |
| Credential | M.D. |
| Practice Address |
4435 U.S.90 Pace FL 32571-1368 |
| Mailing Address |
4453 Us 90 Pace FL 32571-8636 |
| Practice Telephone | 8504364630 |
| Practice Fax Number | 8509952649 |
| Mailing Telephone | 8504364630 |
| Mailing Fax Number | 8509952649 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2018-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | ME75074 | FL | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | ME0075074 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 251846500 | 05 | |
| FL | HEALTH FIRST NETWORK | A504 | 01 |
| FL | UNITED HEALTHCARE | 1250003 | 01 |
| FL | BCBS OF FL | 32936 | 01 |
| FL | FIRST HEALTH | H8285 | 01 |
| FL | AETNA | 7960252 | 01 |
| AL | BCBS OF AL | 96036 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346803673 | Jennifer Lynn Zimmerman | Clinical Nurse Specialist | 55 Hosier St, Selbyville, DE 19975-9300 | 2019-04-22 |
| 1326417759 | Jennifer Lynn Zimmerman | Nurse Practitioner | 308 Terrace Ave, Harding, PA 18643-7153 | 2015-09-16 |
| 1588800411 | Jennifer Lynn Zimmerman | Specialist | 1901 Richard Arrington Jr Blvd S, Suite Z., Birmingham, AL 35209-1270 | 2008-12-24 |
| 1417042870 | Jennifer Lee Zimmerman | Physician Assistant | 1441 Florida Ave., Modesto, CA 95352 | 2006-10-03 |
| 1265057772 | Jennifer Zimmerman | Dietitian, Registered | 551 Lone Pine Blvd, The Dalles, OR 97058-9403 | 2020-06-10 |
| 1104389881 | Jennifer Pittman Zimmerman | Licensed Practical Nurse | 320 N 5th St, Beatrice, NE 68310-2957 | 2019-04-10 |
| 1861963019 | Jennifer Ann Zimmerman | Specialist/Technologist | 2800 University Blvd N, Jacksonville, FL 32211-3394 | 2018-12-16 |
| 1811449077 | Jennifer Ann Zimmerman | Social Worker | 2423 Camino Del Rio S, Suite 103, San Diego, CA 92108-3702 | 2016-11-03 |
| 1477997062 | Jennifer A Zimmerman | Internal Medicine | 1499 Fair Rd, Statesboro, GA 30458-1683 | 2013-04-25 |
| 1063795235 | Jennifer Lynn Zimmerman | Pharmacist | 5830 N Clinton St, Fort Wayne, IN 46825-5734 | 2011-09-23 |
| Street Address |
4435 U.S.90 |
| City | PACE |
| State | FL |
| Zip Code | 32571-1368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528619103 | Sabrina Hall | Behavior Technician | 3802 Hwy 90, Pace, FL 32571 | 2019-09-24 |
| 1902364094 | Audiology Services Company Usa, LLC | Audiologist-Hearing Aid Fitter | 3754 Us Hightway 90, Suite 390a, Pace, FL 32571 | 2019-03-07 |
| 1598245391 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 5012 Highway 90, Pace, FL 32571 | 2018-08-21 |
| 1922529957 | Overwatch Investments | Home Health | 4503 Woodbine Road, Pace, FL 32571 | 2017-06-29 |
| 1215382619 | Andrea Tuttle | Pediatrics | 5755 Quintette Road, Pace, FL 32571 | 2016-05-04 |
| 1134503477 | Joshua Leblanc | Dentist | 4873 Us-90, Pace, FL 32571 | 2015-07-16 |
| 1326468323 | Ileana Bernal-blair | Obstetrics & Gynecology | 3574 Highway 90, Ste 220, Pace, FL 32571 | 2014-04-17 |
| 1710320064 | Victorian Manor Retirement Center,inc. | Assisted Living Facility | 4685 Chumuckla Highway, Pace, FL 32571 | 2013-04-16 |
| 1639460819 | Wayne Kramer | Massage Therapist | 5717 Hwy 90, Pace, FL 32571 | 2011-04-22 |
| 1386942365 | Jennifer Lyn Newstrom | Behavioral Analyst | 4000 Us-90, B, Pace, FL 32571 | 2011-03-01 |
| Find all providers in zip 32571 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215382619 | Andrea Tuttle | Pediatrics | 5755 Quintette Road, Pace, FL 32571 | 2016-05-04 |
| 1912096033 | Kids Care Pediatrics of Nw Fl. Inc | Pediatrics | 4622 Summerdale Blvd, Pace, FL 32571 | 2006-10-12 |
| 1083712632 | Teresa Ann Mahaffey | Pediatrics | 5565 Woodbine Rd, Pace, FL 32571-8768 | 2006-09-20 |
| 1053369991 | Michelle S Page | Pediatrics | 4288 Woodbine Rd, Suite D, Pace, FL 32571-8795 | 2006-05-04 |
| 1407843410 | Lisa Currier | Pediatrics | 3754 Highway 90, Pace, FL 32571-1096 | 2005-10-04 |
| 1164417275 | David A Hensley | Pediatrics | 4860 Woodbine Rd, Suite 1 & 2, Pace, FL 32571-8709 | 2005-09-14 |
| 1073946950 | Ramu Srinivas Jonnalagadda | Pediatrics | 5565 Woodbine Rd, Pace, FL 32571-8768 | 2013-08-15 |
| 1124369160 | Pediatric Associates Pa | Pediatrics | 4435 Highway 90, Pace, FL 32571-2066 | 2013-03-14 |
| 1407018138 | Michelle S Page Md Pa | Pediatrics | 4288 Woodbine Rd, Pace, FL 32571-8755 | 2008-06-25 |
| 1023153608 | Growing Child Pediatrics | Pediatrics | 5565 Woodbine Rd, Pace, FL 32571-8768 | 2007-02-21 |
| Find all providers in PACE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.