Individual provider Active NPI

Darlyla Altidor Naissance

  • Family Nurse Practitioner
  • Miramar, FL
National Provider Identifier
1194298331
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9386538 Issued in FL
Practice address
2788 SW 177TH Ave
Miramar, FL 33029-5142
Phone
(561) 572-7606
NPI assigned
Jan 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9386538 FL Primary

Addresses

Primary practice location

2788 SW 177TH Ave
Miramar, FL 33029-5142

Mailing address

2788 SW 177TH Ave
Miramar, FL 33029-5142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250626004301 FL Practitioner - Nurse Practitioner 3072026715 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Travel Doctor PLGroup PAC ID 2567686090, 42 clinicians
The Clinicians, LLCGroup PAC ID 7214154509, 51 clinicians

Practice addresses (Care Compare)

10970 Cross Creek Blvd
Suite D
Tampa, FL 33647-4056
Phone (866) 550-2212

21301 Powerline Rd
Suite 106
Boca Raton, FL 33433-2389
Phone (866) 550-2212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9386538FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Clinicians, LLC CurrentSince Nov 11, 2025 Accepting new patients
Travel Doctor, PL CurrentSince Nov 11, 2025 Accepting new patients
Accountable Care Hospitalist Group CurrentSince Jul 1, 2025 Accepting new patients
Boca del Mar Pediatric and Adolescent Center PA Past Accepting new patients

Locations

21301 Powerline Rd
Ste 106
Boca Raton, FL 33433
Phone (866) 550-2212

21644 State Road 7
Boca Raton, FL 33428
Phone (561) 488-8210

1899 N Congress Ave
Boynton Beach, FL 33426
Phone (866) 550-2212

10970 Cross Creek Blvd
Tampa, FL 33647
Phone (813) 369-5969

10970 Cross Creek Blvd
Ste D
Tampa, FL 33647
Phone (813) 369-5969

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300601

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1194298331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2788 SW 177TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2788 SW 177TH AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295142",
            "telephone_number": "561-572-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAISSANCE",
        "first_name": "DARLYLA",
        "middle_name": "ALTIDOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9386538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.