Healthcare Provider Details

I. General information

NPI: 1184302069
Provider Name (Legal Business Name): LILIANNE FROMETA ALEMAN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2023
Last Update Date: 04/09/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

514 SE PORT ST LUCIE BLVD
PORT ST LUCIE FL
34984-5108
US

IV. Provider business mailing address

2996 SW BRIDGE ST
PORT ST LUCIE FL
34953-3207
US

V. Phone/Fax

Practice location:
  • Phone: 772-871-5900
  • Fax: 772-871-1197
Mailing address:
  • Phone: 832-265-4388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11027393
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: