Healthcare Provider Details

I. General information

NPI: 1417812512
Provider Name (Legal Business Name): MARIE CARMELLE LOUIJAS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7790 NW 44TH CT APT 1
CORAL SPRINGS FL
33065-1975
US

IV. Provider business mailing address

7790 NW 44TH CT APT 1
CORAL SPRINGS FL
33065-1975
US

V. Phone/Fax

Practice location:
  • Phone: 754-245-9899
  • Fax:
Mailing address:
  • Phone: 754-245-9899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11044345
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: