Healthcare Provider Details

I. General information

NPI: 1114675550
Provider Name (Legal Business Name): MARIE FRANCE GERMEILLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2022
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2221 S 25TH ST
FORT PIERCE FL
34947-4796
US

IV. Provider business mailing address

2221 S 25TH ST
FORT PIERCE FL
34947-4796
US

V. Phone/Fax

Practice location:
  • Phone: 203-727-9749
  • Fax:
Mailing address:
  • Phone: 203-727-9749
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11039668
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License NumberRN2314281
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: