Provider Demographics
NPI:1134791973
Name:MARTIN LLORCA, SONIA (APRN)
Entity type:Individual
Prefix:
First Name:SONIA
Middle Name:
Last Name:MARTIN LLORCA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9440 LIVE OAK PL
Mailing Address - Street 2:APT 201
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33324-4715
Mailing Address - Country:US
Mailing Address - Phone:904-705-4853
Mailing Address - Fax:
Practice Address - Street 1:501 S ROYAL POINCIANA BLVD
Practice Address - Street 2:APT 23
Practice Address - City:MIAMI SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33166
Practice Address - Country:US
Practice Address - Phone:
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-12
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11013706363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily