MEDICARE: NEFTALI PERNAS ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	ARNP9251755	FL

General Provider Information

NPI Number	:	1437379484
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEFTALI PERNAS ARNP

Provider Business Mailing Address
First Line	:	450 SW 23RD RD
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33129-1926
Country	:	US
Telephone Number	:	786-389-3808
Fax Number	:

Provider Business Practice Location Address
First Line	:	1036 NW 11TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33136-2912
Country	:	US
Telephone Number	:	305-360-8533
Fax Number	:	305-360-8533

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	05/23/2025

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