PHARA CAMILLE METELLUS


Address: 6445 Red Pine Ln Apt A, Greenacres, FL 33415-6180
Phone: 5614603623

PHARA CAMILLE METELLUS (NPI# 1851843403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851843403
Entity Type Individual
Full Name PHARA CAMILLE METELLUS
Credential ARNP
Practice Address 6445 Red Pine Ln Apt A
Greenacres
FL 33415-6180
Practice Telephone 5614603623
Mailing Telephone 5614603623
Enumeration Date 2016-10-31
Last Update Date 2020-08-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LF0000X Nurse Practitioner
Specialization: Family
ARNP9319666 FL Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
APRN9319666 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6445 RED PINE LN APT A
City GREENACRES
State FL
Zip Code 33415-6180

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1508370131 Lisa Palmieri Physical Therapist 5056 Wallis Rd, West Palm Beach, FL 33415 2017-11-17
1093233637 Anay Piloto Garcia Behavior Technician 1851 W Chatham Rd, West Palm Beach, FL 33415 2017-09-05
1356897631 Leida C Alarcon Technician, Other 2221 White Pine Cir Apt D, Greenacres, FL 33415 2016-08-28
1689061996 Antonio Cruz Physical Therapy Assistant 2939 S Haverhill Road, Wpb, FL 33415 2015-04-24
1780019034 Michele Thune Nurse Practitioner 942 Scott Dr, West Palm Beach, FL 33415 2013-09-05
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City GREENACRES
Zip Code 33415

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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