Prussian Blue Health, Wellness and Fitness

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

PRUSSIAN BLUE HEALTH, WELLNESS AND FITNESS

Practice address

6101 W Atlantic Blvd Ste 101
Margate, FL 33063-5157

Phone

(786) 587-0915

Fax

(786) 761-9231

NPI assigned

Jun 8, 2026

Organization subpart

No

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

Authorized official

Name

Carla Petion, NPNPI 1013774538

Title

Family Nurse Practitioner

Phone

(786) 587-0915

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carla Petion

  • Primary Care Nurse Practitioner
  • Boca Raton, FL
  • NPI 1013774538
  NPD Authorized official

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

{
    "created_epoch": "1780876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1487587556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 W ATLANTIC BLVD STE 101",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635157",
            "telephone_number": "786-587-0915",
            "fax_number": "786-761-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 W ATLANTIC BLVD STE 101",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330635157",
            "telephone_number": "786-587-0915",
            "fax_number": "786-761-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUSSIAN BLUE HEALTH, WELLNESS AND FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-06",
        "status": "A",
        "authorized_official_last_name": "PETION",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "786-587-0915",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PRN Health Services, Inc.
• PRN Health Services, Inc.
• Professional Care Facility Alf
• Progressive Medical Center
• Julie Prudhomme
• Publix Super Markets, Inc.
• Qick Stretch & Body Works LLC
• Quality Nursing Home Care
• Quality of Life Corp
• Araceli Quevedo, M.D.

• Primary Care Nurse Practitioner in Margate, FL
• Providers in Margate, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.