Healthcare Provider Details

I. General information

NPI: 1073160883
Provider Name (Legal Business Name): BRITTNIE D POUCELY FNP-BC, MSN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2019
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W 41ST ST STE 412
MIAMI BEACH FL
33140-3500
US

IV. Provider business mailing address

1531 NW 11TH WAY
FORT LAUDERDALE FL
33311-5412
US

V. Phone/Fax

Practice location:
  • Phone: 786-703-7549
  • Fax: 786-703-7548
Mailing address:
  • Phone: 954-348-0428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11003803
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11003803
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: