Provider Demographics
NPI:1740847698
Name:CASINILLO, KYM ALOHA OPSIMA- (FNP-BC, ARNP)
Entity type:Individual
Prefix:
First Name:KYM ALOHA
Middle Name:OPSIMA-
Last Name:CASINILLO
Suffix:
Gender:F
Credentials:FNP-BC, ARNP
Other - Prefix:
Other - First Name:KYM ALOHA
Other - Middle Name:DELUBIO
Other - Last Name:OPSIMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, RN, CCRN
Mailing Address - Street 1:180 JFK DR STE 320
Mailing Address - Street 2:
Mailing Address - City:ATLANTIS
Mailing Address - State:FL
Mailing Address - Zip Code:33462-6641
Mailing Address - Country:US
Mailing Address - Phone:561-548-4900
Mailing Address - Fax:561-434-5165
Practice Address - Street 1:180 JFK DR STE 320
Practice Address - Street 2:
Practice Address - City:ATLANTIS
Practice Address - State:FL
Practice Address - Zip Code:33462-6641
Practice Address - Country:US
Practice Address - Phone:561-548-4900
Practice Address - Fax:561-434-5165
Is Sole Proprietor?:No
Enumeration Date:2019-05-28
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11002522363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty