MEDICARE: ANAELLE C AUGUSTE

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	163W00000X	Registered Nurse	9516946	FL

General Provider Information

NPI Number	:	1508458381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANAELLE C AUGUSTE

Provider Business Mailing Address
First Line	:	1320 NW 112TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33167-3618
Country	:	US
Telephone Number	:	178-636-6063
Fax Number	:

Provider Business Practice Location Address
First Line	:	1216 HIMALAYAN CT
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32712-5676
Country	:	US
Telephone Number	:	786-366-4063
Fax Number	:

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

Provider Enumeration Date	:	02/03/2021
Last Update Date	:	02/03/2021

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Directions to “ ANAELLE C AUGUSTE ” Practice Location

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