Individual provider Active NPI

Martine Eugene Jordan, ARNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1972790152
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9171429 Issued in FL
Practice address
9400 NW 12TH Ave
Miami, FL 33150-2025
Phone
(305) 835-9264
NPI assigned
Oct 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9171429 FL Primary

Addresses

Primary practice location

9400 NW 12TH Ave
Miami, FL 33150-2025

Mailing address

9400 NW 12TH Ave
Miami, FL 33150-2025
Phone (305) 835-9264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091024000029 FL Practitioner - Nurse Practitioner 9436296472 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9171429FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hernando Pasco Primary Care LLC CurrentSince Mar 1, 2022 Accepting new patients
Sylvan Goldin DO PA CurrentSince Mar 1, 2022 Accepting new patients

Locations

11373 Cortez Blvd
Ste 206
Brooksville, FL 34613
Phone (352) 596-3032

3465 Galt Ocean Dr
Ste 101
Ft Lauderdale, FL 33308
Phone (954) 566-7775

1785 Northpointe Pkwy
Ste 300
Lutz, FL 33558
Phone (813) 536-7277

8251 W Broward Blvd
Ste 102
Plantation, FL 33324
Phone (954) 271-8880

350 N Pine Island Rd
Ste 302
Plantation, FL 33324
Phone (954) 581-8272

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIBHCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CIDHCD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1972790152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331502025",
            "telephone_number": "305-835-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331502025",
            "telephone_number": "305-835-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "MARTINE",
        "middle_name": "EUGENE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9171429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.