MEDICARE: ALIAHA DAPHNIS

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	367A00000X	Advanced Practice Midwife
2	367A00000X	Advanced Practice Midwife	11001622	FL

General Provider Information

NPI Number	:	1932665833
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALIAHA DAPHNIS

Provider Business Mailing Address
First Line	:	2311 RUTLAND ST
Second Line	:
City	:	OPA LOCKA
State	:	FL
Zip	:	33054-3748
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8110 ROYAL PALM BLVD STE 108
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-5742
Country	:	US
Telephone Number	:	954-341-8288
Fax Number	:

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

Provider Enumeration Date	:	02/15/2019
Last Update Date	:	06/24/2024

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Directions to “ ALIAHA DAPHNIS ” Practice Location

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