Basic Information
| Provider Information | |||||||||
| NPI: | 1932665833 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | DAPHNIS | ||||||||
| FirstName: | ALIAHA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2311 RUTLAND ST | ||||||||
| Address2: | |||||||||
| City: | OPA LOCKA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330543748 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 8110 ROYAL PALM BLVD STE 108 | ||||||||
| Address2: | |||||||||
| City: | CORAL SPRINGS | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330655742 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9543418288 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/15/2019 | ||||||||
| LastUpdateDate: | 02/15/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367A00000X | Y | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
No ID Information.