Healthcare Provider Details

I. General information

NPI: 1699623835
Provider Name (Legal Business Name): SKARLLETH CUEVAS KAUFFMANN APRN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 S DIXIE HWY
LAKE WORTH FL
33460-4400
US

IV. Provider business mailing address

21481 TOWN LAKES DR APT 526
BOCA RATON FL
33486-8831
US

V. Phone/Fax

Practice location:
  • Phone: 561-227-3993
  • Fax: 561-855-4308
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11046218
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: