Provider Demographics
NPI:1851180137
Name:APRN HEALTH CONSULT CLINIC LLC
Entity type:Organization
Organization Name:APRN HEALTH CONSULT CLINIC LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:OLUWOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:PITAN
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:786-201-6249
Mailing Address - Street 1:10122 SW 139TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-6682
Mailing Address - Country:US
Mailing Address - Phone:786-201-6249
Mailing Address - Fax:925-281-3249
Practice Address - Street 1:10122 SW 139TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-6682
Practice Address - Country:US
Practice Address - Phone:786-201-6249
Practice Address - Fax:925-281-3249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-03
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty