Healthcare Provider Details

I. General information

NPI: 1124501804
Provider Name (Legal Business Name): ALICIA JIMENEZ ARNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2018
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8320 W SUNRISE BLVD STE 211
PLANTATION FL
33322-5432
US

IV. Provider business mailing address

2556 WASHINGTON ST
HOLLYWOOD FL
33020-5878
US

V. Phone/Fax

Practice location:
  • Phone: 786-540-8983
  • Fax: 800-547-4293
Mailing address:
  • Phone: 305-762-2274
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN9411892
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: