Healthcare Provider Details

I. General information

NPI: 1538703376
Provider Name (Legal Business Name): HEATHER PERKOWSKI APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/05/2019
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 NW 9TH AVE
MIAMI FL
33136-1101
US

IV. Provider business mailing address

9300 ARBORWOOD CIR
DAVIE FL
33328-6798
US

V. Phone/Fax

Practice location:
  • Phone: 305-355-5000
  • Fax: 305-355-5792
Mailing address:
  • Phone: 954-646-4728
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11003888
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: