Healthcare Provider Details

I. General information

NPI: 1962382432
Provider Name (Legal Business Name): ARIANA CENTOFANTI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10101 FOREST HILL BLVD
WELLINGTON FL
33414-6103
US

IV. Provider business mailing address

9926 LAGO DR
BOYNTON BEACH FL
33472-2770
US

V. Phone/Fax

Practice location:
  • Phone: 561-798-8500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number157523
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: