MEDICARE: GLADYS BIEN-AIME

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	363LF0000X	Family Nurse Practitioner	11000643	FL

General Provider Information

NPI Number	:	1477026912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GLADYS BIEN-AIME

Provider Business Mailing Address
First Line	:	15251 SW 144TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33196-2821
Country	:	US
Telephone Number	:	305-281-6930
Fax Number	:

Provider Business Practice Location Address
First Line	:	8900 NORTH KENDALL DR.
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33196-2821
Country	:	US
Telephone Number	:	786-596-2000
Fax Number	:

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

Provider Enumeration Date	:	01/08/2019
Last Update Date	:	01/08/2019

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Directions to “ GLADYS BIEN-AIME ” Practice Location

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