RENISE FREDERIC


Address: 11750 Canal St Unit 220, Miramar, FL 33025-7947
Phone: 8505049277

RENISE FREDERIC (NPI# 1679170427) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
APRN11009118 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 11750 CANAL ST UNIT 220
City MIRAMAR
State FL
Zip Code 33025-7947

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NPI Name Taxonomy Address Enumeration
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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
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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
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
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Competitor

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City MIRAMAR
Zip Code 33025

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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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