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NPI Code Detail

MEDICARE: DR. SYLVIE MARIE JOELLE BOISSON M.D.

MEDICARE: DR. SYLVIE MARIE JOELLE BOISSON M.D.
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1417257262
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SYLVIE MARIE JOELLE BOISSON M.D.
Provider Business Mailing Address
First Line : 90 SW 3RD ST
Second Line : APT 3311
City : MIAMI
State : FL
Zip : 33130-2995
Country : US
Telephone Number : 305-409-0190
Fax Number :
Provider Business Practice Location Address
First Line : 1611 NW 12TH AVE
Second Line : EAST TOWER SUITE 6006
City : MIAMI
State : FL
Zip : 33136-1005
Country : US
Telephone Number : 305-585-6042
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2010
Last Update Date : 10/27/2010

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