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

Sanny Vasallo

Individual provider Family Nurse Practitioner · NPI 1548807696

Sanny Vasallo is a Family Nurse Practitioner in Miramar, Florida. Licensed in Florida. Registered with an NPI since 2019.

Licensed in
FL
In the registry since
2019

Practice location Address checks out

4451 SW 143rd Ave
Miramar, FL 33027-3055
Phone: (786) 769-4498
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 F09190722 (FL)

Record details

NPI number1548807696
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 9, 2019
Last updated in NPPESOctober 18, 2024
Certification dateOctober 18, 2024
Mailing address4451 Sw 143rd Ave, Miramar, FL 33027-3055

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