Provider Demographics
NPI:1952833964
Name:PENALVER, DAYAMIS (APRN)
Entity Type:Individual
Prefix:
First Name:DAYAMIS
Middle Name:
Last Name:PENALVER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:DAYAMIS
Other - Middle Name:
Other - Last Name:PENALVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:1600 W OAKLAND PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33311-1520
Mailing Address - Country:US
Mailing Address - Phone:754-200-8284
Mailing Address - Fax:
Practice Address - Street 1:12709 MIRAMAR PKWY
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-2902
Practice Address - Country:US
Practice Address - Phone:305-266-2929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-29
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9439534163W00000X
FL11000055363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse