MRS. FAUSTA MORTIMER VIRGILE


Address: 6640 Dahlia Drive, Miramar, FL 33023
Phone: 9544960020

MRS. FAUSTA MORTIMER VIRGILE (NPI# 1144789843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144789843
Entity Type Individual
Full Name MRS. FAUSTA MORTIMER VIRGILE
Credential APRN
Practice Address 6640 Dahlia Drive
Miramar
FL 33023
Practice Telephone 9544960020
Mailing Telephone 9544960020
Enumeration Date 2019-03-13
Last Update Date 2019-03-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
11001603 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6640 DAHLIA DRIVE
City MIRAMAR
State FL
Zip Code 33023

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811594765 Synthia Juvilien Nurse Practitioner 1704 Sw 101st Ter, Miramar, FL 33025-6534 2020-10-05
1679170427 Renise Frederic Nurse Practitioner 11750 Canal St Unit 220, Miramar, FL 33025-7947 2020-10-05
1730786708 Murielle Jean Nurse Practitioner 4963 Sw 166th Ave, Miramar, FL 33027-4903 2020-10-02
1417563651 Idowu Oluwafemi Adekambi Nurse Practitioner 16126 Sw 26th St, Miramar, FL 33027-4407 2020-09-22
1689280349 Fabiola Douyard Nurse Practitioner 15805 Sw 52nd Ct, Miramar, FL 33027-5616 2020-09-18
1851906804 Yoandris Rosales Nurse Practitioner 7837 Orleans St, Miramar, FL 33023-3559 2020-09-15
1427660349 Nicole Theresa Marshall Nurse Practitioner 1932 Sw 148th Way, Miramar, FL 33027-4338 2020-08-21
1720698947 Robinson Remonville Nurse Practitioner 6045 Sw 40th St, Miramar, FL 33023-5107 2020-08-03
1720698137 Sherine Campbell Nurse Practitioner 13138 Sw 31st St, Miramar, FL 33027-3839 2020-07-31
1821616152 Sijo Jose Nurse Practitioner 19574 Sw 42nd Ct, Miramar, FL 33029-2748 2020-07-13
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Competitor

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City MIRAMAR
Zip Code 33023

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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