Healthcare Provider Details

I. General information

NPI: 1336587161
Provider Name (Legal Business Name): ELIZABETH PASCUAL MSN, ARNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2013
Last Update Date: 11/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1430 S DIXIE HWY STE 304
CORAL GABLES FL
33146-3159
US

IV. Provider business mailing address

3656 SW 57TH AVE
MIAMI FL
33155-5032
US

V. Phone/Fax

Practice location:
  • Phone: 888-696-4322
  • Fax: 866-525-0411
Mailing address:
  • Phone: 786-316-1297
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9293743
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: