Healthcare Provider Details

I. General information

NPI: 1457718082
Provider Name (Legal Business Name): DJENANE ELSA IMBERT ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DJENANE ELSA SANON ARNP

II. Dates (important events)

Enumeration Date: 01/27/2016
Last Update Date: 03/14/2026
Certification Date: 03/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 N CONGRESS AVE STE 403
DELRAY BEACH FL
33445-4639
US

IV. Provider business mailing address

6101 BLUE LAGOON DR STE 400
MIAMI FL
33126-2051
US

V. Phone/Fax

Practice location:
  • Phone: 561-272-1618
  • Fax:
Mailing address:
  • Phone: 561-272-1618
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9295991
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: