Provider Demographics
NPI:1164575254
Name:MUSSA JIMENEZ, YASER (DC)
Entity Type:Individual
Prefix:DR
First Name:YASER
Middle Name:
Last Name:MUSSA JIMENEZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:685 PALM SPRINGS DR
Mailing Address - Street 2:SUITE # 1C
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-7853
Mailing Address - Country:US
Mailing Address - Phone:407-332-7080
Mailing Address - Fax:407-332-7079
Practice Address - Street 1:685 PALM SPRINGS DR
Practice Address - Street 2:SUITE # 1C
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-7853
Practice Address - Country:US
Practice Address - Phone:407-332-7080
Practice Address - Fax:407-332-7079
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9295111N00000X
PR504111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor