Healthcare Provider Details

I. General information

NPI: 1619491859
Provider Name (Legal Business Name): LEONILA ABAN ENGELMANN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2017
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1425 S CONGRESS AVE
DELRAY BEACH FL
33445-6384
US

IV. Provider business mailing address

4780 SW 64TH AVE STE 101
DAVIE FL
33314-4400
US

V. Phone/Fax

Practice location:
  • Phone: 561-330-9363
  • Fax:
Mailing address:
  • Phone: 954-434-1705
  • Fax: 954-434-1882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9326956
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: