Healthcare Provider Details

I. General information

NPI: 1093074247
Provider Name (Legal Business Name): KERIANN NAPORA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2012
Last Update Date: 08/24/2021
Certification Date: 08/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9970 CENTRAL PARK BLVD N STE 300
BOCA RATON FL
33428-2237
US

IV. Provider business mailing address

9970 CENTRAL PARK BLVD N STE 300
BOCA RATON FL
33428-2237
US

V. Phone/Fax

Practice location:
  • Phone: 561-488-2200
  • Fax:
Mailing address:
  • Phone: 561-488-2200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9112991
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: