Healthcare Provider Details

I. General information

NPI: 1841152584
Provider Name (Legal Business Name): VALERIA MARULANDA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

153 S COMPASS WAY
DANIA BEACH FL
33004-2369
US

IV. Provider business mailing address

8151 NW 10TH ST
PEMBROKE PINES FL
33024-5001
US

V. Phone/Fax

Practice location:
  • Phone: 954-947-0103
  • Fax:
Mailing address:
  • Phone: 954-451-4677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11043934
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: