Healthcare Provider Details

I. General information

NPI: 1740145903
Provider Name (Legal Business Name): ARLIETTE VITA ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 NW 12TH AVE
MIAMI FL
33136-1005
US

IV. Provider business mailing address

12926 SW 266TH TER
HOMESTEAD FL
33032-8494
US

V. Phone/Fax

Practice location:
  • Phone: 305-585-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN11044334
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: