Healthcare Provider Details

I. General information

NPI: 1336064740
Provider Name (Legal Business Name): DALIA VERA CEPERO FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10900 NW 24TH ST
CORAL SPRINGS FL
33065-3641
US

IV. Provider business mailing address

10900 NW 24TH ST
CORAL SPRINGS FL
33065-3641
US

V. Phone/Fax

Practice location:
  • Phone: 832-949-5317
  • Fax:
Mailing address:
  • Phone: 832-949-5317
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11049828
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: