Healthcare Provider Details

I. General information

NPI: 1427997212
Provider Name (Legal Business Name): LOVING ANGELS PPEC-W INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 NORTHLAKE BLVD STE 101
NORTH PALM BEACH FL
33408-5215
US

IV. Provider business mailing address

8441 NW 163RD TER
MIAMI LAKES FL
33016-6634
US

V. Phone/Fax

Practice location:
  • Phone: 786-673-5400
  • Fax: 786-953-8481
Mailing address:
  • Phone: 786-673-5400
  • Fax: 786-953-8481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0200X
TaxonomyPediatric Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: DEYRIS ARIAS
Title or Position: CEO
Credential:
Phone: 786-355-4722