Healthcare Provider Details

I. General information

NPI: 1912655093
Provider Name (Legal Business Name): ADELFINE CAUVIN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2022
Last Update Date: 03/16/2022
Certification Date: 03/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2770 INDIAN RIVER BLVD STE 203
VERO BEACH FL
32960-4230
US

IV. Provider business mailing address

2770 INDIAN RIVER BLVD STE 203
VERO BEACH FL
32960-4230
US

V. Phone/Fax

Practice location:
  • Phone: 772-480-7026
  • Fax: 772-365-2846
Mailing address:
  • Phone: 772-480-7026
  • Fax: 772-365-2846

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN9224598
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: