Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaime Ibanez

Individual provider Diagnostic Radiology Physician · NPI 1033616396

Jaime Ibanez is a Diagnostic Radiology in Jacksonville, Florida. Qualified in 2018, 8 years ago. Practices with Sanford Clinic, a 56-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2018
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Practice location Address checks out

8375 Dix Ellis Trl Ste 201
Jacksonville, FL 32256-8241
Phone: (904) 236-5884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4250 Hospital Dr, Marianna, FL 32446-1917 — (850) 526-2200
  • 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 — (813) 259-0661

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence ME145255 (FL)

Record details

NPI number1033616396
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 11, 2018
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Sanford Clinic — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

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