Individual provider Active NPI

Leyla Vanessa Punzalan, ARNP

  • Family Nurse Practitioner
  • Weston, FL
National Provider Identifier
1730563065
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP3260312 Issued in FL
Practice address
1825 N Corporate Lakes Blvd
Weston, FL 33326-3211
Phone
(954) 349-1111
Fax
(954) 349-1234
NPI assigned
Jul 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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 ARNP3260312 FL Primary

Addresses

Primary practice location

1825 N Corporate Lakes Blvd
Weston, FL 33326-3211

Mailing address

1825 N Corporate Lakes Blvd
Weston, FL 33326-3211
Phone (954) 349-1111

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
I20151014000005 FL Practitioner - Nurse Practitioner 0345559340 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP3260312FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beth and Howard Braver MD PA CurrentSince Mar 23, 2022 Accepting new patients

Locations

3700 Washington St
Ste 200
Hollywood, FL 33021
Phone (954) 894-3003

20950 NE 27th Ct
Ste 200
Miami, FL 33180
Phone (305) 466-0663

7800 Sheridan St
Pembroke Pines, FL 33024
Phone (954) 962-9650

Interoperability endpoints

  • Direct secure messaging: lpunzalan299252@mhsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1730563065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 N CORPORATE LAKES BLVD",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263211",
            "telephone_number": "954-349-1111",
            "fax_number": "954-349-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 N CORPORATE LAKES BLVD",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263211",
            "telephone_number": "954-349-1111",
            "fax_number": "954-349-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNZALAN",
        "first_name": "LEYLA",
        "middle_name": "VANESSA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP3260312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.