Healthcare Provider Details

I. General information

NPI: 1609670470
Provider Name (Legal Business Name): ANGELICA MARIA LLAMAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2025
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11096 51ST CT N
WEST PALM BEACH FL
33411-9009
US

IV. Provider business mailing address

11096 51ST CT N
WEST PALM BEACH FL
33411-9009
US

V. Phone/Fax

Practice location:
  • Phone: 786-202-1887
  • Fax:
Mailing address:
  • Phone: 786-202-1887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number11038518
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: