Healthcare Provider Details

I. General information

NPI: 1285142778
Provider Name (Legal Business Name): ARACELIS LOFFREDO ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2018
Last Update Date: 06/30/2021
Certification Date: 06/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7000 SW 62ND AVE STE 350
SOUTH MIAMI FL
33143-4717
US

IV. Provider business mailing address

7000 SW 62ND AVE STE 350
SOUTH MIAMI FL
33143-4717
US

V. Phone/Fax

Practice location:
  • Phone: 305-665-9644
  • Fax:
Mailing address:
  • Phone: 305-665-9644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number9293500
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberAPRN9293500
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: