Healthcare Provider Details

I. General information

NPI: 1578823332
Provider Name (Legal Business Name): FLORENCE MAKOUGOUNG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2012
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11215 OAK LEAF DR APT 708
SILVER SPRING MD
20901-1370
US

IV. Provider business mailing address

11215 OAK LEAF DR APT 708
SILVER SPRING MD
20901-1370
US

V. Phone/Fax

Practice location:
  • Phone: 301-613-0844
  • Fax:
Mailing address:
  • Phone: 301-613-0844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: