Healthcare Provider Details

I. General information

NPI: 1619266855
Provider Name (Legal Business Name): FILIP NAWRA RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2011
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15504 BOTTLEBRUSH CIR
DELRAY BEACH FL
33484-5511
US

IV. Provider business mailing address

15504 BOTTLEBRUSH CIR
DELRAY BEACH FL
33484-5511
US

V. Phone/Fax

Practice location:
  • Phone: 917-613-9109
  • Fax:
Mailing address:
  • Phone: 917-613-9109
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN11018744
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number431780
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: