ILEE FAGARASS
NPI 1093528176
Nurse Practitioner - Family in Fort Pierce, FL
Active since January 31, 2025
About Ilee Fagarass NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ILEE FAGARASS (NPI 1093528176) is an individual family provider in Fort Pierce, Florida, licensed in Florida (11037407) and active in the NPI registry since January 2025.
NPPES Registry Identity
NPI1093528176
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameILEE FAGARASS
Location Address2215 NEBRASKA AVE STE 2-BFort Pierce, FL 34950-4866
Mailing Address1510 Merriment WayFort Pierce, FL 34947-7719
Phone(772) 302-3767
Sole ProprietorYes
Enumeration DateJanuary 31, 2025
NPPES CertifiedJanuary 24, 2025
✔ NPI 1093528176 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 11037407
2215 NEBRASKA AVE STE 2-B, Fort Pierce, FL 34950
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093528176, enumerated as an "individual" on January 31, 2025.
The provider is located at 2215 NEBRASKA AVE STE 2-B FORT PIERCE, FL 34950 and the phone number is (772) 302-3767.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
