Healthcare Provider Details

I. General information

NPI: 1841392297
Provider Name (Legal Business Name): MARIA ISABEL VELIS ARNP-FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9225 COLLINS AVE APT PHE
SURFSIDE FL
33154-3046
US

IV. Provider business mailing address

9225 COLLINS AVE APT PHE
SURFSIDE FL
33154
US

V. Phone/Fax

Practice location:
  • Phone: 786-499-9857
  • Fax:
Mailing address:
  • Phone: 786-499-9857
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9293873
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: