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NPI Code Detail

MEDICARE: MRS. CHRISTIANE PREVILMA

MEDICARE:  MRS. CHRISTIANE  PREVILMA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WG0000XGeneral Practice Registered NurseRN9499155FL
2363LP0808XPsychiatric/Mental Health Nurse Practitioner11044295FL

General Provider Information

NPI Number : 1346773900
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTIANE PREVILMA
Provider Business Mailing Address
First Line : 5700 LAKE WORTH RD STE 201
Second Line :
City : GREENACRES
State : FL
Zip : 33463-4727
Country : US
Telephone Number : 561-545-1019
Fax Number :
Provider Business Practice Location Address
First Line : 5700 LAKE WORTH RD STE 201
Second Line :
City : GREENACRES
State : FL
Zip : 33463-4727
Country : US
Telephone Number : 561-510-6321
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2017
Last Update Date : 12/17/2025

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Directions to “ MRS. CHRISTIANE PREVILMA ” Practice Location

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