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DENEBOLA TR
NPI 1376371450
Nurse Practitioner - Family in Wilton Manors, FL

Active since July 22, 2024
2225 NE 14TH AVE, WILTON MANORS, FL 33305(763) 843-4433 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Denebola Tr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DENEBOLA TR (NPI 1376371450) is a healthcare organization registered as a family in Wilton Manors, Florida and active in the NPI registry since July 2024. The organization lists Beau Van Morrison, Owner, as its authorized official.

NPPES Registry Identity

NPI1376371450
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameDENEBOLA TR
Location Address2225 NE 14TH AVEWilton Manors, FL 33305-2305
Mailing Address15500 Voss Rd # 1079Sugar Land, TX 77498-4601 · (866) 954-1583
Phone(763) 843-4433
Organization SubpartNo
Authorized OfficialBeau Van MorrisonOwner · (866) 954-1583
Enumeration DateJuly 22, 2024
NPPES CertifiedJuly 22, 2024
✔ NPI 1376371450 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
2225 NE 14TH AVE, Wilton Manors, FL 33305
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Other Names 1

Other NameMed Ex Pro Solutions

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Denebola Tr's NPI number?

The NPI number for Denebola Tr is 1376371450. It was assigned to this organization in the NPPES registry on July 22, 2024. The provider is also known as Med Ex Pro Solutions.

Where is Denebola Tr located?

Denebola Tr is located at 2225 NE 14th Ave, Wilton Manors, FL 33305. The listed phone number is (763) 843-4433.

What is Denebola Tr's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Denebola Tr was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.