Healthcare Provider Details

I. General information

NPI: 1144749490
Provider Name (Legal Business Name): VIKRAM SINGH PARWANA APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2017
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5401 N UNIVERSITY DR STE 103
CORAL SPRINGS FL
33067-4636
US

IV. Provider business mailing address

2412 SW 156TH AVE
MIRAMAR FL
33027-4275
US

V. Phone/Fax

Practice location:
  • Phone: 561-563-6262
  • Fax:
Mailing address:
  • Phone: 786-554-9829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number11036593
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: