=====================================================
General NPI Number Information
=====================================================
NPI Number | 1063374395
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ILAMAN ARMAND XAVIER FNP
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/25/2025
-----------------------------------------------------
Last Update Date | 11/25/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3565 FOREST HILL BLVD APT 95
-----------------------------------------------------
City | WEST PALM BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33406-5889
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 678-530-5513
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3565 FOREST HILL BLVD APT 95
-----------------------------------------------------
City | WEST PALM BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33406-5889
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 678-530-5513
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 358227
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------