# PRUSSIAN BLUE HEALTH, WELLNESS AND FITNESS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487587556
- **Authorized official:** CARLA PETION NP (FAMILY NURSE PRACTITIONER)
- **Authorized official phone:** (786) 587-0915

## Contact information

- **Practice address:** 6101 W ATLANTIC BLVD STE 101, MARGATE, FL 33063-5157
- **Practice address phone:** (786) 587-0915
- **Practice address fax:** (786) 761-9231
- **Mailing address:** 6101 W ATLANTIC BLVD STE 101, MARGATE, FL 33063-5157
- **Mailing address phone:** (786) 587-0915
- **Mailing address fax:** (786) 761-9231

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/08/2026
- **Last updated:** 06/08/2026