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NPI Code Detail

MEDICARE: PIERRE-RICHARD EDOUARD M D PA

MEDICARE: PIERRE-RICHARD EDOUARD M D PA
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
1207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730436205
Entity Type Code : Organization
Provider Name (Legal Business Name) : PIERRE-RICHARD EDOUARD M D PA
Provider Business Mailing Address
First Line : 16161 NW 57TH AVE
Second Line :
City : MIAMI LAKES
State : FL
Zip : 33014-6707
Country : US
Telephone Number : 305-625-3409
Fax Number : 305-625-2734
Provider Business Practice Location Address
First Line : 16161 NW 57TH AVE
Second Line :
City : MIAMI LAKES
State : FL
Zip : 33014-6707
Country : US
Telephone Number : 305-625-3409
Fax Number : 305-625-2734
Authorized Official
Title or Position : PRESIDENT
Name : PIERRE-RICHARD EDOUARD
Credential : MD
Telephone Number : 305-625-3409
Provider Enumeration Date : 08/14/2012
Last Update Date : 08/14/2012

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Directions to “PIERRE-RICHARD EDOUARD M D PA ” Practice Location

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