Healthcare Provider Details

I. General information

NPI: 1265844070
Provider Name (Legal Business Name): DESIREE ABRAHAM ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2014
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11890 SW 8TH ST STE 404
MIAMI FL
33184-1710
US

IV. Provider business mailing address

11890 SW 8TH ST STE 404
MIAMI FL
33184-1710
US

V. Phone/Fax

Practice location:
  • Phone: 786-285-5803
  • Fax: 386-252-3992
Mailing address:
  • Phone: 786-285-5803
  • Fax: 386-252-3992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN9259893
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN9259893
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: