=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437379484
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NEFTALI PERNAS ARNP
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/01/2007
-----------------------------------------------------
Last Update Date | 05/23/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1036 NW 11TH AVE
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33136-2912
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-360-8533
-----------------------------------------------------
Fax | 305-360-8533
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 450 SW 23RD RD
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33129-1926
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-389-3808
-----------------------------------------------------
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 | ARNP9251755
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------