=====================================================
General NPI Number Information
=====================================================
NPI Number | 1689083321
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MARIE D REMY APRN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/06/2014
-----------------------------------------------------
Last Update Date | 10/03/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1350 NW 14TH ST
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33125-1609
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-575-3800
-----------------------------------------------------
Fax | 305-470-5846
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8175 NW 12TH ST STE 306
-----------------------------------------------------
City | DORAL
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33126-1828
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-575-3800
-----------------------------------------------------
Fax | 305-470-5846
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number | 9281288
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LP2300X
-----------------------------------------------------
Taxonomy Name | Primary Care Nurse Practitioner
-----------------------------------------------------
License Number | APRN9281288
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------