Healthcare Provider Details

I. General information

NPI: 1770501124
Provider Name (Legal Business Name): SYLVIA M HARLEY ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 09/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 NW 22ND AVE
MIAMI FL
33147-6222
US

IV. Provider business mailing address

700 S ROYAL POINCIANA BLVD SUITE 300
MIAMI SPRINGS FL
33166-6600
US

V. Phone/Fax

Practice location:
  • Phone: 305-835-8122
  • Fax: 305-692-2083
Mailing address:
  • Phone: 305-805-1700
  • Fax: 305-994-1484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberARNP1520512
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: