MEDICARE: MICHELE PIERRE-MARIE ABRAHAM RN

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	9405944	FL

General Provider Information

NPI Number	:	1760140727
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELE PIERRE-MARIE ABRAHAM RN

Provider Business Mailing Address
First Line	:	PO BOX 530590
Second Line	:
City	:	MIAMI SHORES
State	:	FL
Zip	:	33153-0590
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2421 SW 6TH AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33315-2613
Country	:	US
Telephone Number	:	954-467-4700
Fax Number	:

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

Provider Enumeration Date	:	12/07/2021
Last Update Date	:	12/07/2021

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