Healthcare Provider Details
I. General information
NPI: 1548237480
Provider Name (Legal Business Name): DARLENE MARIE BOYTELL ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/28/2006
Last Update Date: 04/13/2023
Certification Date: 04/13/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9408 SW 87TH AVE STE 200
MIAMI FL
33176-2416
US
IV. Provider business mailing address
7500 SW 87TH AVE SUITE 200
MIAMI FL
33173
US
V. Phone/Fax
- Phone: 305-913-0666
- Fax: 305-913-0663
- Phone: 305-913-0666
- Fax: 305-913-0663
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | ARNP2048922 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: