Healthcare Provider Details

I. General information

NPI: 1689338741
Provider Name (Legal Business Name): SONYA LEIGH BERINGHAUS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2021
Last Update Date: 11/12/2024
Certification Date: 11/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 NW 9TH AVE
MIAMI FL
33136-1101
US

IV. Provider business mailing address

1321 NW 14TH ST
MIAMI FL
33125-1673
US

V. Phone/Fax

Practice location:
  • Phone: 305-355-5000
  • Fax:
Mailing address:
  • Phone: 305-243-3000
  • Fax: 305-243-7487

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11015497
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License NumberAPRN11015497
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: