Healthcare Provider Details

I. General information

NPI: 1700651601
Provider Name (Legal Business Name): KRISTEN SUAREZ FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2023
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

670 GLADES RD
BOCA RATON FL
33431-6461
US

IV. Provider business mailing address

670 GLADES RD
BOCA RATON FL
33431-6461
US

V. Phone/Fax

Practice location:
  • Phone: 561-216-7086
  • Fax: 561-291-6670
Mailing address:
  • Phone: 561-216-7086
  • Fax: 561-569-3502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11029815
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: