Healthcare Provider Details

I. General information

NPI: 1578911442
Provider Name (Legal Business Name): MARCIA SOBREIRA DE CARVALHO APRN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2016
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1724 E HALLANDALE BEACH BLVD STE 2A
HALLANDALE BEACH FL
33009-4611
US

IV. Provider business mailing address

9725 NW 117TH AVE STE 200
MEDLEY FL
33178-1260
US

V. Phone/Fax

Practice location:
  • Phone: 954-456-9696
  • Fax: 954-456-9626
Mailing address:
  • Phone: 954-432-0578
  • Fax: 954-432-5060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9316643
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: