Healthcare Provider Details

I. General information

NPI: 1841744257
Provider Name (Legal Business Name): ANIELA MAGGIO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2016
Last Update Date: 10/01/2021
Certification Date: 10/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 WASHINGTON ST SUITE 400
HOLLYWOOD FL
33021-8256
US

IV. Provider business mailing address

730 GOODLETTE RD STE 204
NAPLES FL
34102-5618
US

V. Phone/Fax

Practice location:
  • Phone: 954-980-0361
  • Fax:
Mailing address:
  • Phone: 239-777-9321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9204147
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: