Provider Demographics
NPI:1770501124
Name:HARLEY, SYLVIA M (ARNP)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:M
Last Name:HARLEY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:700 S ROYAL POINCIANA BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MIAMI SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6600
Mailing Address - Country:US
Mailing Address - Phone:305-805-1700
Mailing Address - Fax:305-994-1484
Practice Address - Street 1:7200 NW 22ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33147-6222
Practice Address - Country:US
Practice Address - Phone:305-835-8122
Practice Address - Fax:305-692-2083
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1520512363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL306831501Medicaid
FL306831500Medicaid
FLU7058OtherBCBS
FLU7058ZMedicare PIN
FL306831500Medicaid