=====================================================
General NPI Number Information
=====================================================
NPI Number | 1285437756
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PRAYER AND FAITH MINISTRIES OF DELIVERANCE, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/31/2025
-----------------------------------------------------
Last Update Date | 08/12/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 822 NE 125TH ST STE 110
-----------------------------------------------------
City | NORTH MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33161-5729
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-571-6020
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9825 NE 2ND AVE UNIT 530032
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33153-2301
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-263-1418
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | VICE PRESIDENT
-----------------------------------------------------
Name | MS. BRIGITTE K BELIZAIRE
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 786-263-1418
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------