Healthcare Provider Details

I. General information

NPI: 1356384861
Provider Name (Legal Business Name): MARY HOPE PLUMMER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 NW 16TH ST
MIAMI FL
33125-1624
US

IV. Provider business mailing address

13170 NW 18TH ST
PEMBROKE PINES FL
33028-2500
US

V. Phone/Fax

Practice location:
  • Phone: 305-324-4455
  • Fax: 305-575-3161
Mailing address:
  • Phone: 305-575-7000
  • Fax: 305-575-3161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberARNP2752242
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number2752242
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: