MEDICARE: MERCEDES JIMENEZ ARNP

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	207Q00000X	Family Medicine Physician	RN9229293	FL
2	363LA2200X	Adult Health Nurse Practitioner	ARNP9229293	FL
3	2081S0010X	Sports Medicine (Physical Medicine & Rehabilitation) Physician	RN9229293	FL

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	:	1447487384
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MERCEDES JIMENEZ ARNP

Provider Business Mailing Address
First Line	:	9025 PINES BLVD
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33024-6440
Country	:	US
Telephone Number	:	954-417-0003
Fax Number	:	954-417-0004

Provider Business Practice Location Address
First Line	:	9025 PINES BLVD
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33024-6440
Country	:	US
Telephone Number	:	954-417-0003
Fax Number	:	954-417-0004

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

Provider Enumeration Date	:	06/18/2009
Last Update Date	:	02/03/2026

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