Provider Demographics
NPI:1053418020
Name:GALIMIDI, MARIA JIMENA (DPM)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:JIMENA
Last Name:GALIMIDI
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8614 E STATE ROAD 70
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34202-3710
Mailing Address - Country:US
Mailing Address - Phone:941-739-2288
Mailing Address - Fax:941-893-3300
Practice Address - Street 1:8614 E STATE ROAD 70
Practice Address - Street 2:SUITE 200
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34202-3710
Practice Address - Country:US
Practice Address - Phone:941-739-2288
Practice Address - Fax:941-893-3300
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI943-025213E00000X
TX1921213E00000X
FLPO3025213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0732240001OtherDMERC # WITH PPG
WI43243800Medicaid
FL340363700Medicaid
0732240001OtherDMERC # WITH PPG
WI001786492Medicare PIN
FLU0893Medicare ID - Type Unspecified
WI001886476Medicare PIN
TXTXB100284Medicare PIN
WI001786486Medicare PIN
WI001686533Medicare PIN
WI001081015Medicare PIN
FLU09578Medicare UPIN
WI001586550Medicare PIN
WI001483045Medicare PIN
WI43243800Medicaid
WI001886499Medicare PIN
WIP00623852Medicare PIN