Individual
BERNARDO REVILLA FIOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC, PMHNP-BC
Contact information
Practice address
5190 NW 167TH ST STE 201, MIAMI LAKES, FL 33014-6338
(305) 705-4289
Mailing address
7972 PINES BLVD UNIT 245866, PEMBROKE PINES, FL 33024-8647
(786) 849-0033
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN11040786
FL
363LF0000X
Family Nurse Practitioner
CNP885236
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11040786
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
CNP885236
NV
Other
Enumeration date
07/09/2025
Last updated
04/29/2026
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