Healthcare Provider Details

I. General information

NPI: 1912838525
Provider Name (Legal Business Name): BRITTNEY LARUFFA
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

654 W INDIANTOWN RD STE 107
JUPITER FL
33458-7546
US

IV. Provider business mailing address

654 W INDIANTOWN RD STE 107
JUPITER FL
33458-7546
US

V. Phone/Fax

Practice location:
  • Phone: 561-745-1002
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11046761
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: