Healthcare Provider Details

I. General information

NPI: 1093711004
Provider Name (Legal Business Name): NADIA NODE PIERRE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2005
Last Update Date: 01/22/2024
Certification Date: 01/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12983 SOUTHERN BLVD STE 201
LOXAHATCHEE FL
33470-9207
US

IV. Provider business mailing address

9314 FOREST HILL BLVD STE 34
WELLINGTON FL
33411-6577
US

V. Phone/Fax

Practice location:
  • Phone: 561-791-2888
  • Fax: 561-491-7447
Mailing address:
  • Phone: 561-791-2888
  • Fax: 561-491-7447

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME92535
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: