Maryse Anne Pedoussaut in Miami Lakes - Adult Medicine
Maryse Anne Pedoussaut - NPI 1881639458
Maryse Anne Pedoussaut is a Adult Medicine in Miami Lakes, Florida. Maryse Anne Pedoussaut practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Maryse Anne Pedoussaut is 1881639458. The last update date is 2018-09-10.
Maryse Anne Pedoussaut's current location address is 800 Sw 108th Avenue, Suite 100, Miami Lakes, Florida. You can contact this provider via phone number 3053483627 and fax number 3053484261. The mailing address for Maryse Anne Pedoussaut is 800 Sw 108th Avenue, Suite 100, Miami Lakes, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maryse Anne Pedoussaut |
|---|---|
| Address | 800 Sw 108th Avenue, Suite 100, Miami Lakes, Florida |
| Phone Number | 3053483627 |
| Fax Number | 3053484261 |
| Sole Proprietor | N |
| Credentials | M.D |
NPI Number Detail
| NPI Number | 1881639458 |
|---|---|
| Provider Enumeration Date | 2006-06-18 |
| Last Updated Date | 2018-09-10 |
Provider Mailing Address Detail
| Address | 800 Sw 108th Avenue, Suite 100 |
|---|---|
| City | Miami Lakes |
| State | Florida (FL) |
| Post Code | 330146540 |
| Phone Number | 3053483627 |
| Fax Number | 3053484261 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | ME 82118 |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2633906 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Maryse Anne Pedoussaut by the Centers for Medicare & Medicaid Services?
The Maryse Anne Pedoussaut has been issued the NPI (National Provider Identifier) 1881639458 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Maryse Anne Pedoussaut is physically located?
The Maryse Anne Pedoussaut is situated at the following address: 800 Sw 108Th Avenue, Suite 100, Miami Lakes, FL 330146540.
What is Maryse Anne Pedoussaut's area of expertise and its corresponding taxonomy classification?
The Maryse Anne Pedoussaut's field of specialization is Adult Medicine, and it falls under the taxonomy code 207Qa0505X, which categorizes healthcare providers based on their areas of practice.
When did Maryse Anne Pedoussaut receive its 1881639458 assignment?
The Maryse Anne Pedoussaut was assigned its 1881639458 on 2006-06-18, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Maryse Anne Pedoussaut most recently updated or revised?
The details related to Maryse Anne Pedoussaut, including its address, specialty, and other relevant information, were last updated or revised on 2018-09-10.