Healthcare Provider Details

I. General information

NPI: 1083582316
Provider Name (Legal Business Name): MONIKA P. MICHAELI APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4828 COCONUT CREEK PKWY
COCONUT CREEK FL
33063-3904
US

IV. Provider business mailing address

6101 BLUE LAGOON DR STE 200
MIAMI FL
33126-3168
US

V. Phone/Fax

Practice location:
  • Phone: 954-582-2828
  • Fax: 877-319-1851
Mailing address:
  • Phone: 305-500-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11042155
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: