MEDICARE: HADASSAH DOUCET

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
1	163WH0200X	Home Health Registered Nurse	9571699	FL
2	363LF0000X	Family Nurse Practitioner	APRN11045871	FL

General Provider Information

NPI Number	:	1376307652
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HADASSAH DOUCET

Provider Business Mailing Address
First Line	:	101 NE 164TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33162-3433
Country	:	US
Telephone Number	:	786-395-5820
Fax Number	:

Provider Business Practice Location Address
First Line	:	2962 TRIVIUM CIR
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-4655
Country	:	US
Telephone Number	:	800-921-6806
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2024
Last Update Date	:	04/02/2026

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