Healthcare Provider Details

I. General information

NPI: 1558978023
Provider Name (Legal Business Name): DALIA MAGDALENA SECIN SANTANA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2020
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

926 S MILITARY TRL STE 944
WEST PALM BEACH FL
33415-3910
US

IV. Provider business mailing address

940 GREEN ST
WEST PALM BEACH FL
33405-3002
US

V. Phone/Fax

Practice location:
  • Phone: 561-425-8000
  • Fax: 561-207-7882
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11009269
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: