Healthcare Provider Details

I. General information

NPI: 1821967258
Provider Name (Legal Business Name): CARLOS FELIX ECHEVARRIA APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: CARLOS ECHEVARRIA APRN

II. Dates (important events)

Enumeration Date: 11/03/2025
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 N 35TH AVE STE 300
HOLLYWOOD FL
33021-5428
US

IV. Provider business mailing address

2900 CORPORATE WAY DOOR D
MIRAMAR FL
33025
US

V. Phone/Fax

Practice location:
  • Phone: 954-265-1490
  • Fax: 954-989-0454
Mailing address:
  • Phone: 786-355-9158
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN11043228
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11043228
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: