Healthcare Provider Details

I. General information

NPI: 1770921090
Provider Name (Legal Business Name): LETICIA MEIGHAN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2013
Last Update Date: 04/04/2025
Certification Date: 04/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1621 SW 107TH AVE
MIAMI FL
33165-7344
US

IV. Provider business mailing address

13962 SW 276TH WAY
HOMESTEAD FL
33032-3211
US

V. Phone/Fax

Practice location:
  • Phone: 786-422-6525
  • Fax: 786-621-7815
Mailing address:
  • Phone: 786-624-9333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number3326732
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN3326732
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: