Healthcare Provider Details

I. General information

NPI: 1134034051
Provider Name (Legal Business Name): MR. RONEL PROPHETE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W FOREST AVE APT 129
COALINGA CA
93210-2567
US

IV. Provider business mailing address

400 W FOREST AVE APT 129
COALINGA CA
93210-2567
US

V. Phone/Fax

Practice location:
  • Phone: 786-782-8896
  • Fax:
Mailing address:
  • Phone: 786-782-8896
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11049598
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: