IndividualActive
Antoinise Servius
NPI 1851253447 · Nurse Practitioner · Edgewater, FL
Provider details
- NPI number
- 1851253447
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- F11250171 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3036 Kumquat Dr
Edgewater, FL 32141-6212
Phone: (786) 320-2550
Approximate (ZIP-level) locationGet directions
Mailing address
3036 Kumquat Dr
Edgewater, FL 32141-6212
Registry dates
- Enumerated
- 2025-12-02
- Last updated
- 2025-12-02
- Certified
- 2025-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.