Healthcare Provider Details

I. General information

NPI: 1003326281
Provider Name (Legal Business Name): FIORELLA JAHAIRA SAKA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2017
Last Update Date: 09/15/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801NE 213TH STREET SUITE 1211
AVENTURA FL
33180
US

IV. Provider business mailing address

2801 NE 213TH ST
AVENTURA FL
33180-1263
US

V. Phone/Fax

Practice location:
  • Phone: 305-317-1554
  • Fax:
Mailing address:
  • Phone: 305-317-1554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN9338844
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: