MEDICARE: MIREILLE LOUIS CHARLES

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	374J00000X	Doula

General Provider Information

NPI Number	:	1467316497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIREILLE LOUIS CHARLES

Provider Business Mailing Address
First Line	:	1865 NE 171ST ST
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-3003
Country	:	US
Telephone Number	:	305-799-7503
Fax Number	:

Provider Business Practice Location Address
First Line	:	1865 NE 171ST ST
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-3003
Country	:	US
Telephone Number	:	305-799-7503
Fax Number	:

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

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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Directions to “ MIREILLE LOUIS CHARLES ” Practice Location

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