Provider Demographics
NPI:1336138718
Name:DELAROSA, JENINE (ARNP)
Entity Type:Individual
Prefix:
First Name:JENINE
Middle Name:
Last Name:DELAROSA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8000 SW 117TH AVE
Mailing Address - Street 2:SUITE #200
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-4803
Mailing Address - Country:US
Mailing Address - Phone:305-273-7950
Mailing Address - Fax:305-273-7654
Practice Address - Street 1:8000 SW 117TH AVE
Practice Address - Street 2:SUITE #200
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-4803
Practice Address - Country:US
Practice Address - Phone:305-273-7950
Practice Address - Fax:305-273-7654
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2528362363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner