Healthcare Provider Details

I. General information

NPI: 1659202729
Provider Name (Legal Business Name): CLAUDINE BEDZRA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2351 AVENUE F
RIVIERA BEACH FL
33404-5553
US

IV. Provider business mailing address

827 MURANO DR APT 104
LAKE PARK FL
33403-1842
US

V. Phone/Fax

Practice location:
  • Phone: 561-248-9118
  • Fax: 561-248-9118
Mailing address:
  • Phone: 561-248-9118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: