MEDICARE: MARCIA SOBREIRA DE CARVALHO APRN, RN

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	363LF0000X	Family Nurse Practitioner	ARNP9316643	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1710647	OTHER	FL	AANP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578911442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCIA SOBREIRA DE CARVALHO APRN, RN

Provider Business Mailing Address
First Line	:	9725 NW 117TH AVE STE 200
Second Line	:
City	:	MEDLEY
State	:	FL
Zip	:	33178-1260
Country	:	US
Telephone Number	:	954-432-0578
Fax Number	:	954-432-5060

Provider Business Practice Location Address
First Line	:	1724 E HALLANDALE BEACH BLVD STE 2A
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-4611
Country	:	US
Telephone Number	:	954-456-9696
Fax Number	:	954-456-9626

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

Provider Enumeration Date	:	06/01/2016
Last Update Date	:	04/20/2026

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