Provider Demographics
NPI:1598259236
Name:THERILDOR, SARILIA (ARNP-C)
Entity Type:Individual
Prefix:MS
First Name:SARILIA
Middle Name:
Last Name:THERILDOR
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 S LAUREL DR
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-5303
Mailing Address - Country:US
Mailing Address - Phone:954-903-8067
Mailing Address - Fax:
Practice Address - Street 1:145 S LAUREL DR
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5303
Practice Address - Country:US
Practice Address - Phone:954-903-8067
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-16
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9274478363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily