Healthcare Provider Details

I. General information

NPI: 1477088557
Provider Name (Legal Business Name): NADEGE DELCIN-GARCON ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2017
Last Update Date: 08/11/2020
Certification Date: 08/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7261 SHERIDAN ST STE 305
HOLLYWOOD FL
33024-2709
US

IV. Provider business mailing address

7261 SHERIDAN ST STE 305
HOLLYWOOD FL
33024-2709
US

V. Phone/Fax

Practice location:
  • Phone: 754-400-8932
  • Fax: 305-402-0941
Mailing address:
  • Phone: 754-400-8932
  • Fax: 305-402-0941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9322321
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: