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NPI Code Detail

MEDICARE: MRS. CARLINE ST. VIL ARNP, NP-C

MEDICARE: MRS. CARLINE ST. VIL ARNP, NP-C
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
1363LF0000XFamily Nurse PractitionerARNP 9273829FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679890008
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CARLINE ST. VIL ARNP, NP-C
Provider Business Mailing Address
First Line : 1515 N FLAGLER DR STE 101
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-3429
Country : US
Telephone Number : 561-642-1000
Fax Number :
Provider Business Practice Location Address
First Line : 200 CONGRESS PARK DR STE 100
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33445-4618
Country : US
Telephone Number : 561-642-1000
Fax Number : 561-804-5629
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2010
Last Update Date : 04/13/2026

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