Healthcare Provider Details

I. General information

NPI: 1871437145
Provider Name (Legal Business Name): STHERVELIE ABREGO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 GLADES RD STE 4A
BOCA RATON FL
33431-6401
US

IV. Provider business mailing address

950 GLADES RD STE 4A
BOCA RATON FL
33431-6401
US

V. Phone/Fax

Practice location:
  • Phone: 561-391-8086
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11047760
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: