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NPI Code Detail

MEDICARE: MODE M HILAIRE APRN

MEDICARE:   MODE M HILAIRE  APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner11009072FL
2163W00000XRegistered Nurse9300927FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1H4606553658010OTHERFLDL
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073021630
Entity Type Code : Individual
Provider Name (Legal Business Name) : MODE M HILAIRE APRN
Provider Business Mailing Address
First Line : 4982 SW 127TH AVE
Second Line :
City : MIRAMAR
State : FL
Zip : 33027-5815
Country : US
Telephone Number : 786-704-1557
Fax Number :
Provider Business Practice Location Address
First Line : 4982 SW 127TH AVE
Second Line :
City : MIRAMAR
State : FL
Zip : 33027-5815
Country : US
Telephone Number : 786-704-1557
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2018
Last Update Date : 09/11/2020

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Directions to “ MODE M HILAIRE APRN” Practice Location

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