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NPI Code Detail

MEDICARE: MRS. MARTINE LARRIEUX ARNP

MEDICARE:  MRS. MARTINE  LARRIEUX  ARNP
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
1363LF0000XFamily Nurse Practitioner9179154FL

General Provider Information

NPI Number : 1396254926
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARTINE LARRIEUX ARNP
Provider Business Mailing Address
First Line : 19225 SW 129TH AVE
Second Line :
City : MIAMI
State : FL
Zip : 33177-4230
Country : US
Telephone Number : 305-975-9590
Fax Number :
Provider Business Practice Location Address
First Line : 6250 SUNSET DR
Second Line :
City : SOUTH MIAMI
State : FL
Zip : 33143
Country : US
Telephone Number : 786-662-5187
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2017
Last Update Date : 05/27/2019

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Directions to “ MRS. MARTINE LARRIEUX ARNP” Practice Location

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