RENISE FREDERIC (NPI# 1679170427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679170427 |
| Entity Type | Individual |
| Full Name | RENISE FREDERIC |
| Practice Address |
11750 Canal St Unit 220 Miramar FL 33025-7947 |
| Practice Telephone | 8505049277 |
| Mailing Telephone | 8505049277 |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN11009118 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11750 CANAL ST UNIT 220 |
| City | MIRAMAR |
| State | FL |
| Zip Code | 33025-7947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702329 | Ashley V Carter | Nutritionist | 3803 Sw 93rd Ave, Miramar, FL 33025 | 2019-10-24 |
| 1477024305 | Jeff Rocker | Counselor | 10700 City Center Blvd Apt 5245, Pembroke Pines, FL 33025 | 2018-12-17 |
| 1760959779 | Spring Health Inc | In Home Supportive Care | 1799 Sw 82nd Pl, Miramar, FL 33025 | 2018-10-28 |
| 1649763004 | Ann-marie Elizabeth Pryce | Nurse Practitioner | 8942 Sw 19th St, Miramar, FL 33025 | 2018-06-11 |
| 1588154876 | Michelle Angelle Crawford | Behavior Technician | 10630 Washington St Apt 103, Pembroke Pines, FL 33025 | 2018-05-14 |
| 1598267809 | Lydia Rosa Malcolm | Psychologist | 11820 Miramar Pkwy Ste 309, Miramar, FL 33025 | 2018-03-02 |
| 1447760657 | At Talitha Cumi Home Care, Inc. | Homemaker | 3140 Sw 120 Terr, Miramar, FL 33025 | 2017-10-03 |
| 1962924522 | Yenni Celina Cueto | Behavioral Analyst | 720 Sw 111th Ave Apt 303, Pembroke Pines, FL 33025 | 2017-07-14 |
| 1093236713 | Manoucheca Fabienne Phanord | Nurse Practitioner | 11575 City Hall Promenade, #4-150, Miramar, FL 33025 | 2017-07-03 |
| 1659801439 | Desiree Verina Nugent | Family Medicine | 3772 Sw 93rd Ave, Miramar, FL 33025 | 2017-06-14 |
| Find all providers in zip 33025 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594765 | Synthia Juvilien | Nurse Practitioner | 1704 Sw 101st Ter, Miramar, FL 33025-6534 | 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 |
| 1265057194 | Giselle Camarero | Nurse Practitioner | 2690 Sw 138th Ave, Miramar, FL 33027-3933 | 2020-06-16 |
| Find all providers in MIRAMAR | ||||
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| 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.