Active NPI
Dieula Exantus, ARNP
- Family Nurse Practitioner
- Lauderhill, FL
National Provider Identifier
1396245288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9273076
- Practice address
- 4486 N University Dr
Lauderhill, FL 33351-4513 - Phone
- (954) 710-8767
- NPI assigned
- Feb 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9273076 | FL | Primary |
Addresses
Primary practice location
4486 N University Dr
Lauderhill, FL 33351-4513
Mailing address
7050 Taft St
Hollywood, FL 33024-3804
Other practice location 1
7050 Taft St
Hollywood, FL 33024-3804
Phone (954) 945-9610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9273076 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aa & D Lubaton, LLC Dba Gaia Holostic Primary Care | Family | Current | Accepting new patients |
Locations
430 State Road 436
Ste 224
Casselberry, FL 32707
Phone (786) 449-5448
Organizations & group practices 1
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.
-
- Family Nurse Practitioner
- Casselberry, FL
- NPI 1083179352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701302400000",
"number": "1396245288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7050 TAFT ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330243804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4486 N UNIVERSITY DR",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "333514513",
"telephone_number": "954-710-8767"
}
],
"practiceLocations": [
{
"address_1": "7050 Taft St",
"address_purpose": "LOCATION",
"city": "Hollywood",
"state": "FL",
"postal_code": "330243804",
"country_code": "US",
"telephone_number": "954-945-9610",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EXANTUS",
"first_name": "DIEULA",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-16",
"last_updated": "2023-11-30",
"certification_date": "2023-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9273076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lauderhill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.