Healthcare Provider Details

I. General information

NPI: 1831130624
Provider Name (Legal Business Name): MERCIE VIELOT ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 02/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

168 N POWERLINE RD
POMPANO BEACH FL
33069-5713
US

IV. Provider business mailing address

5010 HOLLYWOOD BLVD 100B
HOLLYWOOD FL
33021-6516
US

V. Phone/Fax

Practice location:
  • Phone: 954-970-8805
  • Fax: 954-582-0556
Mailing address:
  • Phone: 954-967-0028
  • Fax: 954-967-8141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP3199082
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: