Healthcare Provider Details

I. General information

NPI: 1154231637
Provider Name (Legal Business Name): RANISHA FLEURY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6000 N FEDERAL HWY STE 100
FORT LAUDERDALE FL
33308-2226
US

IV. Provider business mailing address

1756 N BAYSHORE DR APT 38A
MIAMI FL
33132-2725
US

V. Phone/Fax

Practice location:
  • Phone: 954-519-7563
  • Fax:
Mailing address:
  • Phone: 786-371-9737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11044354
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: