Healthcare Provider Details

I. General information

NPI: 1831555697
Provider Name (Legal Business Name): FANY ALEMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2016
Last Update Date: 04/26/2024
Certification Date: 04/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1979 W HILLSBORO BLVD STE 1
DEERFIELD BEACH FL
33442-1444
US

IV. Provider business mailing address

6101 BLUE LAGOON DR STE 200
MIAMI FL
33126-3168
US

V. Phone/Fax

Practice location:
  • Phone: 954-428-4800
  • Fax: 888-498-4773
Mailing address:
  • Phone: 305-500-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9168786
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: