Antoine, Marie M
Antoine, Marie M is an sole proprietor health care provider with primary practice located at 6455 Nw Favian Ct , Port St Lucie FL 34986-4405. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Antoine, Marie M can be contacted via phone (772) 626-8026.Contact Information
Primary practice address
6455 Nw Favian Ct
Port St Lucie FL 34986-4405
Phone: (772) 626-8026
Fax: (772) 873-4670
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | RN 2015392 | Florida |
Profile Details
| NPI number | 1285896902 |
|---|---|
| LBN Legal business name | Antoine, Marie M |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 25th, 2008 |
| Last updated | Jun 25th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285896902 | NPPES |
| Florida | MEDICAID | 685946196 |
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