Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phara Desravines

Individual provider Nurse Practitioner · NPI 1467209510

Phara Desravines is a Nurse Practitioner in Pembroke Pines, Florida. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024
Specialties on file
2

Practice location Address checks out

1154 NW 100th Ave
Pembroke Pines, FL 33024-4376
Phone: (305) 336-7457
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 354035 (NY)
Nurse Practitioner Taxonomy 363L00000X · Licence 354035 (NY)

Record details

NPI number1467209510
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 6, 2024
Last updated in NPPESJuly 17, 2024
Certification dateJuly 17, 2024
Mailing address1154 Nw 100th Ave, Pembroke Pines, FL 33024-4376

Other providers in Pembroke Pines