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NPI Code Detail

MEDICARE: MARJORIE HARDY-HIBBERT

MEDICARE: MARJORIE HARDY-HIBBERT
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 Practitioner2026252FL

Other Identifiers

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

General Provider Information

NPI Number : 1255492484
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARJORIE HARDY-HIBBERT
Provider Business Mailing Address
First Line : 5111 NW 51ST TER
Second Line :
City : TAMARAC
State : FL
Zip : 33319-6320
Country : US
Telephone Number : 305-331-8096
Fax Number :
Provider Business Practice Location Address
First Line : 3015 N OCEAN BLVD STE C101
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33308-7300
Country : US
Telephone Number : 754-270-6322
Fax Number : 754-270-6321
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2006
Last Update Date : 12/05/2025

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Directions to “ MARJORIE HARDY-HIBBERT ” Practice Location

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