Richard-Pean, Midlaine

Richard-Pean, Midlaine is an sole proprietor health care provider with primary practice located at 12401 Miramar Pkwy , Miramar FL 33027-2900. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Richard-Pean, Midlaine can be contacted via phone (186) 638-9272.

Contact Information

Primary practice address
12401 Miramar Pkwy Miramar FL 33027-2900
Phone: (186) 638-9272
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 9192045 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9192045 Florida

Profile Details

NPI number 1164780508
LBN Legal business name Richard-Pean, Midlaine
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2012
Last updated Feb 18th, 2016 - about 10 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 1164780508 NPPES
Florida MEDICAID 009894700

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