Provider Demographics
NPI:1427578301
Name:DEPAMAYLO, LENIE APOLINARIO (APRN)
Entity Type:Individual
Prefix:MRS
First Name:LENIE
Middle Name:APOLINARIO
Last Name:DEPAMAYLO
Suffix:
Gender:F
Credentials:APRN
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Mailing Address - Street 1:2900 CORPORATE WAY
Mailing Address - Street 2:DOOR D
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-3925
Mailing Address - Country:US
Mailing Address - Phone:954-276-5685
Mailing Address - Fax:954-985-7074
Practice Address - Street 1:1150 N 35TH AVE STE 605
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-5431
Practice Address - Country:US
Practice Address - Phone:954-265-7900
Practice Address - Fax:954-276-0284
Is Sole Proprietor?:No
Enumeration Date:2017-06-22
Last Update Date:2021-03-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL9261313363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily