MEDICARE: MYRLANDE JOSEPH

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	376J00000X	Homemaker

General Provider Information

NPI Number	:	1588253546
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MYRLANDE JOSEPH

Provider Business Mailing Address
First Line	:	3923 LAKE WORTH RD STE 201
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-4049
Country	:	US
Telephone Number	:	561-837-1231
Fax Number	:

Provider Business Practice Location Address
First Line	:	3923 LAKE WORTH RD STE 201
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-4049
Country	:	US
Telephone Number	:	561-837-1231
Fax Number	:

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

Provider Enumeration Date	:	01/14/2021
Last Update Date	:	01/14/2021

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Directions to “ MYRLANDE JOSEPH ” Practice Location

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