Healthcare Provider Details

I. General information

NPI: 1851959415
Provider Name (Legal Business Name): DIEULUNE HONORAT APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2019
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

572 E MCNAB RD STE 103
POMPANO BEACH FL
33060-9355
US

IV. Provider business mailing address

572 E MCNAB RD STE 103
POMPANO BEACH FL
33060-9355
US

V. Phone/Fax

Practice location:
  • Phone: 954-386-9386
  • Fax: 786-619-3502
Mailing address:
  • Phone: 954-386-9386
  • Fax: 786-619-3502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11001175
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11001175
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: