Healthcare Provider Details

I. General information

NPI: 1275753568
Provider Name (Legal Business Name): ALETA SCHELEUR ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2007
Last Update Date: 06/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5401 S CONGRESS AVE STE 102
ATLANTIS FL
33462-6635
US

IV. Provider business mailing address

5700 LAKE WORTH RD STE 204
GREENACRES FL
33463-4727
US

V. Phone/Fax

Practice location:
  • Phone: 561-967-5033
  • Fax: 561-967-5417
Mailing address:
  • Phone: 561-966-7707
  • Fax: 561-964-4603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP9239175
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: