Healthcare Provider Details

I. General information

NPI: 1568720134
Provider Name (Legal Business Name): DEVON HOPE ALVAREZ ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS DEVON VANVLEET

II. Dates (important events)

Enumeration Date: 05/02/2012
Last Update Date: 03/23/2021
Certification Date: 03/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3501 JOHNSON ST
HOLLYWOOD FL
33021
US

IV. Provider business mailing address

1117 E HALLANDALE BEACH BLVD
HALLANDALE BEACH FL
33009-4488
US

V. Phone/Fax

Practice location:
  • Phone: 954-457-8771
  • Fax: 954-241-6908
Mailing address:
  • Phone: 954-457-8771
  • Fax: 954-241-6908

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberARNP9218761
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberARNP9218761
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: