LAWRENCE CORONEL JIMENEZ (NPI# 1679917033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679917033 |
| Entity Type | Individual |
| Full Name | LAWRENCE CORONEL JIMENEZ |
| Practice Address |
760 East Ave Bldg 3911 Pensacola FL 32508 |
| Mailing Address |
1800 Brown Rd Pensacola FL 32508-7003 |
| Practice Telephone | 8504528970 |
| Practice Fax Number | 8504528978 |
| Mailing Telephone | 6199445641 |
| Mailing Fax Number | 8504528978 |
| Enumeration Date | 2013-04-28 |
| Last Update Date | 2018-08-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Psc 466 Box 3, Fpo, AP 965950001 | 0112463704255 |
| Street Address |
760 EAST AVE BLDG 3911 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578827127 | Jenna Marie Richards | Dentist | 760 East Ave Bldg 3911, Pensacola, FL 32508-5136 | 2012-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851598510 | Matthew Henry Hoefer | Preventive Medicine | Naval Aerospace Medical Institute- Code 33, 340 Hulse Road, Pensacola, FL 32508 | 2007-06-27 |
| 1891917035 | Lillie Olivia Johnson | Social Worker | Fleet and Family Support Center Building 625 Nas, 151 Ellyson Ave, Pensacola, FL 32508 | 2007-05-03 |
| 1033272372 | Andrew P Doan | Ophthalmology | Naval Aerospace Medicine Institute, 340 Hulse Road, Pensacola, FL 32508 | 2006-12-18 |
| 1689601361 | Bruce Allan Waterman | Emergency Medicine | Nmotc, 220 Hovey Rd, Pensacola, FL 32508 | 2006-06-27 |
| 1346203601 | Richard Alan Beane | Preventive Medicine | 320 Hovey Rd, Naval Air Station Pensacola, Pensacola, FL 32508 | 2006-04-08 |
| 1629040837 | Juan C. Dapena | Family Medicine | 220 Hovey Rd Bldg 488, Pensacola, FL 32508 | 2006-02-02 |
| 1417935586 | Kimberly Kay Gullickson | Audiologist | 450 Turner Street, Branch Health Clinic Naval Air Station, Pensacola, FL 32508 | 2006-01-09 |
| 1164419578 | Michael Matthew Jacobs | Family Medicine | 340 Hulse Road, Naval Aerospace Medical Institute (nami), Pensacola, FL 32508 | 2005-09-30 |
| 1215276191 | Hoyt Harris Reynolds | General Practice | 450 Turner St, Naval Air Station Pensacola Branch Health Clinic, Pensacola, FL 32508 | 2013-02-12 |
| 1194038745 | Amanda Alayne Fix | Dentist | 450 Turner Street, Nbhc Nas Pensacola, Pensacola, FL 32508 | 2010-07-23 |
| Find all providers in zip 32508 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| 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. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669753620 | Jon Anthony I Eustaquio | Military Health Care Provider | 1905 W Intendencia St, Pensacola, FL 32502-5155 | 2011-09-06 |
| 1699072165 | Noah James Serigny | Military Health Care Provider | 6000 W Highway 98, Pensacola, FL 32512-0001 | 2011-02-18 |
| 1093945198 | Bryan Michael Clarke | Military Health Care Provider | 6000 W Highway 98, Pensacola, FL 32512 | 2009-07-23 |
| 1477505733 | Cindy Marie Cook | Military Health Care Provider | 6000 W Highway 98, Pensacola, FL 32512-0001 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740803725 | Alanna Gonzalez | Military Health Care Provider | 1453 Lindseys Crossing Dr, Jacksonville, FL 32218-8088 | 2020-05-25 |
| 1538793849 | Alberto Kris Cipollone | Military Health Care Provider | Bon Homme Richard Ave Bldg 2480, Jacksonville, FL 32246-0046 | 2020-02-25 |
| 1376175794 | James Ernest Claypool | Military Health Care Provider | 12411 Glenn Hollow Dr, Jacksonville, FL 32226-2349 | 2020-02-05 |
| 1831729821 | Michael O'connell | Military Health Care Provider | 8201 Bardmoor Pl Apt 203d, Seminole, FL 33777-1327 | 2020-01-19 |
| 1508404062 | Anthony Briel | Military Health Care Provider | 305 S Crag Road, Panama City, FL 32444 | 2019-12-16 |
| 1043863079 | Jenny Lee Mahoney | Military Health Care Provider | 55281 Yellow Jacket Dr, Callahan, FL 32011-8534 | 2019-07-18 |
| 1023546108 | Gregory Donald Willden | Military Health Care Provider | Bon Homme Richard St, Bldg 2480, Jacksonville, FL 32228 | 2017-06-01 |
| 1992230429 | George Williams Osorio | Military Health Care Provider | 1734 Forest Lakes Cir Apt D, West Palm Beach, FL 33406-5773 | 2017-04-21 |
| 1235681545 | Huriel A Rivera Aponte | Military Health Care Provider | Naval Station Mayport, Surflant Medical Readiness Division Detachment Mayport, Jacksonville, FL 32228 | 2016-11-03 |
| 1619420536 | Justin Allan Willis | Military Health Care Provider | 8353 Iris Ave, Seminole, FL 33777-3643 | 2016-07-27 |
| Find all providers with the same taxonomy | ||||
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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.