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NPI Code Detail

MEDICARE: MERCIE VIELOT ARNP

MEDICARE:   MERCIE  VIELOT  ARNP
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
1363LF0000XFamily Nurse PractitionerARNP3199082FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2U3869OTHERFLBCBS
3277022OTHERFLWELLCARE
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831130624
Entity Type Code : Individual
Provider Name (Legal Business Name) : MERCIE VIELOT ARNP
Provider Business Mailing Address
First Line : 5010 HOLLYWOOD BLVD
Second Line : 100B
City : HOLLYWOOD
State : FL
Zip : 33021-6516
Country : US
Telephone Number : 954-967-0028
Fax Number : 954-967-8141
Provider Business Practice Location Address
First Line : 168 N POWERLINE RD
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33069-5713
Country : US
Telephone Number : 954-970-8805
Fax Number : 954-582-0556
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2006
Last Update Date : 02/28/2011

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Directions to “ MERCIE VIELOT ARNP” Practice Location

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