Healthcare Provider Details

I. General information

NPI: 1538918289
Provider Name (Legal Business Name): VERONICA HINCAPIE FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2024
Last Update Date: 09/09/2024
Certification Date: 09/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21110 BISCAYNE BLVD STE 312
AVENTURA FL
33180-1229
US

IV. Provider business mailing address

1970 SW 115TH AVE
DAVIE FL
33325-4717
US

V. Phone/Fax

Practice location:
  • Phone: 305-933-3030
  • Fax:
Mailing address:
  • Phone: 305-562-8104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberAPRN11034214
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11034214
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: