Healthcare Provider Details

I. General information

NPI: 1215357363
Provider Name (Legal Business Name): RAOUL BAPTISTE ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2014
Last Update Date: 04/12/2022
Certification Date: 04/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 NW 14TH ST
MIAMI FL
33125-1609
US

IV. Provider business mailing address

3800 SANCTUARY DR
CORAL SPRINGS FL
33065-6033
US

V. Phone/Fax

Practice location:
  • Phone: 305-575-3800
  • Fax: 305-470-5846
Mailing address:
  • Phone: 954-882-2277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9339767
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: