| Doctor Name: | CHRISTINA GIMENEZ |
| NPI Number: | 1154735272 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | IMH 11997 |
| Business Practice Address: | 13220 N 56th St Temple Terrace, FL - 336171107 |
| Business Phone Number: | 8138919474 |
| Business Fax Number: | |
| Mailing Address: | 314 Bay Arbor Blvd, OLDSMAR |
| State: | FL |
| Postal Code: | 346774663 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/17/2014 |
| NPI Last Update Date: | 06/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | IMH 11997 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |