Healthcare Provider Details

I. General information

NPI: 1124535448
Provider Name (Legal Business Name): DANIELLE MONIQUE CARSON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2018
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3210 N UNIVERSITY DR UNIT 503
CORAL SPRINGS FL
33065-4203
US

IV. Provider business mailing address

3210 N UNIVERSITY DR UNIT 503
CORAL SPRINGS FL
33065-4203
US

V. Phone/Fax

Practice location:
  • Phone: 305-733-3691
  • Fax: 305-675-7741
Mailing address:
  • Phone: 305-733-3691
  • Fax: 305-675-7741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9389645
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number9389645
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: