Homebound Patient Medical Provider

Family Nurse Practitioner · Sunrise, FL

Call (954) 687-9410 Directions

At a glance

4706 Nw 99Th Ave, Sunrise, FL 33351-4734

NPPES record updated Mar 2, 2022. Public records can lag behind changes at a practice.

Before you call: a quick checklist

Are you accepting new patients?
Do you accept my specific insurance plan?
Do you provide the service I need at this address?
Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

4706 Nw 99Th Ave
Sunrise, FL 33351-4734

Professional details: NPI, taxonomy & registry record

NPI1629725353

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Registry details

Primary taxonomy: Family Nurse Practitioner
Taxonomy code: 363LF0000X
Enumeration date: Mar 2, 2022
Record updated: Mar 2, 2022

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Family Nurse Practitioner

363LF0000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4706 Nw 99Th Ave
Sunrise, FL 33351-4734

Phone: (954) 687-9410
Fax: (954) 678-2608

Mailing address

4706 NW 99TH AVE

SUNRISE, FL 333514734

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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