Jaime Ibanez
Radiology, Diagnostic Radiology in Jacksonville, FL. Individual provider (NPI-1).
NPI number1033616396
StatusActive
Last updated in NPPESSep 23, 2026
Details
- NPI
- 1033616396
- Entity type
- Individual (NPI-1)
- Name
- Jaime Ibanez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 11, 2018
- Certification date
- Sep 23, 2026
- Last updated
- Sep 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | ME145255 | FL | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | V2496 | TX |
Practice location
8375 Dix Ellis Trl Ste 201Jacksonville, FL 32256-8241
Phone 904-236-5884
Mailing address
17 Davis Blvd Ste 308Tampa, FL 33606-3438
Phone 813-250-2506
Other practice locations
17 Davis Blvd Ste 308
Tampa, FL 33606-3438
Tampa, FL 33606-3438
Phone 813-259-0661
4250 Hospital Dr
Marianna, FL 32446-1917
Marianna, FL 32446-1917
Phone 850-526-2200 · Fax 850-718-2844
2101 Pease St
Harlingen, TX 78550-8307
Harlingen, TX 78550-8307
Phone 956-389-6565
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