Healthcare Provider Details

I. General information

NPI: 1811462773
Provider Name (Legal Business Name): ALLYSON JUDITH BUEROSSE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLYSON JUDITH SIPAHI APRN

II. Dates (important events)

Enumeration Date: 10/08/2018
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5810 CORAL RIDGE DR STE 300
CORAL SPRINGS FL
33076-3377
US

IV. Provider business mailing address

900 S PINE ISLAND RD STE 800
PLANTATION FL
33324-3923
US

V. Phone/Fax

Practice location:
  • Phone: 954-414-7770
  • Fax: 954-840-3374
Mailing address:
  • Phone: 954-965-6400
  • Fax: 954-965-7339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAPRN9404268
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: