Healthcare Provider Details

I. General information

NPI: 1497155006
Provider Name (Legal Business Name): EVEL MICHEL ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2014
Last Update Date: 09/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 NE 2ND AVE
MIAMI FL
33137-2706
US

IV. Provider business mailing address

13000 NE 12TH AVE
NORTH MIAMI FL
33161-4305
US

V. Phone/Fax

Practice location:
  • Phone: 305-751-8626
  • Fax:
Mailing address:
  • Phone: 305-776-1426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP3298942
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: