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NPI Code Detail

MEDICARE: MRS. MARIE Y JANIA VERNE PA

MEDICARE:  MRS. MARIE Y JANIA VERNE  PA
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
1363A00000XPhysician AssistantPA9102855FL

General Provider Information

NPI Number : 1952580268
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARIE Y JANIA VERNE PA
Provider Business Mailing Address
First Line : 6821 SW 27TH CT
Second Line :
City : MIRAMAR
State : FL
Zip : 33023-3701
Country : US
Telephone Number : 786-312-0417
Fax Number :
Provider Business Practice Location Address
First Line : 823 NE 125TH ST
Second Line :
City : NORTH MIAMI
State : FL
Zip : 33161-5711
Country : US
Telephone Number : 305-895-7840
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2007
Last Update Date : 11/02/2007

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Directions to “ MRS. MARIE Y JANIA VERNE PA” Practice Location

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