Healthcare Provider Details

I. General information

NPI: 1730970948
Provider Name (Legal Business Name): ALMA ROSA COLMENAREZ VERDE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2025
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8890 W OAKLAND PARK BLVD STE 304
SUNRISE FL
33351-7234
US

IV. Provider business mailing address

2661 LAKE PARK CIR W
DAVIE FL
33328-7000
US

V. Phone/Fax

Practice location:
  • Phone: 954-748-4771
  • Fax: 954-748-6755
Mailing address:
  • Phone: 786-859-3595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11036099
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: