Healthcare Provider Details

I. General information

NPI: 1487860185
Provider Name (Legal Business Name): JOHANNE L THUREL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 07/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3220 S DOUGLAS RD SUITE B
MIRAMAR FL
33025
US

IV. Provider business mailing address

6777 NW 7TH AVE STE 2
MIAMI FL
33150-4100
US

V. Phone/Fax

Practice location:
  • Phone: 954-436-8444
  • Fax: 954-436-8444
Mailing address:
  • Phone: 305-751-2420
  • Fax: 305-759-3308

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME98184
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: