MEDICARE: DR. REBECCA JIMENEZ-SANDERS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	MD61036761	WA
2	2084N0400X	Neurology Physician	20572	NH
3	2084N0400X	Neurology Physician	ME119274	FL
4	2084N0400X	Neurology Physician	90210	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154587152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REBECCA JIMENEZ-SANDERS M.D.

Provider Business Mailing Address
First Line	:	5419 MERRITT ISLAND DR
Second Line	:
City	:	APOLLO BEACH
State	:	FL
Zip	:	33572-3357
Country	:	US
Telephone Number	:	813-294-6589
Fax Number	:	844-689-6566

Provider Business Practice Location Address
First Line	:	8209 NATURES WAY UNIT 205
Second Line	:
City	:	LAKEWOOD RANCH
State	:	FL
Zip	:	34202
Country	:	US
Telephone Number	:	941-399-7020
Fax Number	:	844-689-6566

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2008
Last Update Date	:	04/22/2026

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Directions to “ DR. REBECCA JIMENEZ-SANDERS M.D.” Practice Location

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