Italien, Medjine Guyberte

Italien, Medjine Guyberte is an individual health care provider with primary practice located at 100 Nw 170Th St Ste 410 , North Miami Beach FL 33169-5511. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Italien, Medjine Guyberte can be contacted via phone (305) 654-6850.

Contact Information

Primary practice address
100 Nw 170Th St Ste 410 North Miami Beach FL 33169-5511
Phone: (305) 654-6850
Fax: (305) 654-6858
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9111139 Florida

Profile Details

NPI number 1558866095
LBN Legal business name Italien, Medjine Guyberte
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2018
Last updated May 10th, 2018 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558866095 NPPES
Florida MEDICAID PA9111139

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