MEDICARE: RAYMONDE VERNET

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	11002157	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11002157	OTHER	FL	APRN LICENSE NUMBER
2	11002157	OTHER	FL	APRN LICENSE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619526167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAYMONDE VERNET

Provider Business Mailing Address
First Line	:	3060 NE 11TH AVE
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33064-6316
Country	:	US
Telephone Number	:	561-843-5393
Fax Number	:

Provider Business Practice Location Address
First Line	:	3400 NW 9TH AVE STE A
Second Line	:
City	:	OAKLAND PARK
State	:	FL
Zip	:	33309-5948
Country	:	US
Telephone Number	:	954-462-4599
Fax Number	:	954-530-9597

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

Provider Enumeration Date	:	09/07/2019
Last Update Date	:	09/02/2020

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Directions to “ RAYMONDE VERNET ” Practice Location

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