Ileana Modelo, ARNP
Individual provider Active NPI Family Nurse Practitioner · Surfside, FL
NPI 1881052181 · NPPES record last updated Feb 2, 2016
Key facts
- NPI
- 1881052181
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- ARNP9251628 (FL)
- Practice address
- 8911 Collins Ave Apt 804
Surfside, FL 33154-3546 - Phone
- (305) 333-2950
- NPI assigned
- Feb 2, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9251628 | FL | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9251628 | FL | Yes |
Addresses
Primary practice location
8911 Collins Ave Apt 804
Surfside, FL 33154-3546
Mailing address
8911 Collins Ave Apt 804
Surfside, FL 33154-3546
Phone (305) 333-2950
Other providers in Surfside, FL
- Mera Levin
- Jennifer M Lopez
- Lovecareresearch
- Samuel Eugene Maya
- Adrienne Michaels
- Andrea Lee Munoz
- Shane Devanand Naidoo
- Oberle Opticians
- Ocean Pediatrics, LLC
- Ariel Okhah
All providers in Surfside, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.