Provider Demographics
NPI:1427176908
Name:ABESADA-AGUET, JAIME L (MD)
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:L
Last Name:ABESADA-AGUET
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1490 SE MAGNOLIA AVE. EXT
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471
Mailing Address - Country:US
Mailing Address - Phone:352-671-4221
Mailing Address - Fax:352-671-4393
Practice Address - Street 1:1490 SE MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:37741-0000
Practice Address - Country:US
Practice Address - Phone:352-671-4221
Practice Address - Fax:352-671-4393
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012839172085R0202X
FLME1277622085R0202X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology