DR. DIEUDONNE MITIAL (NPI# 1750766465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750766465 |
| Entity Type | Individual |
| Full Name | DR. DIEUDONNE MITIAL |
| Credential | M.D., M.H.S.A |
| Practice Address |
5323 Nw Aloha St Port St Lucie FL 34986-3533 |
| Practice Telephone | 7732633424 |
| Mailing Telephone | 7732633424 |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2020-03-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 19073 | PR | Allopathic & Osteopathic Physicians |
| Street Address |
5323 NW ALOHA ST |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34986-3533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962992933 | Lindsay B Rojas | Occupational Therapist | 827 Sw Grand Reserves Blvd, Port St Lucie, FL 34986 | 2018-05-15 |
| 1639685266 | Natoya A Queenbourrows | Family Medicine | 2145 Nw Padova St, Port St Lucie, FL 34986 | 2017-12-19 |
| 1740634930 | The Toledo Clinic, LLC | Clinic/Center | 5481 Nw East Torino Parkway, Port St. Lucie, FL 34986 | 2016-04-14 |
| 1326407230 | Merline Smellie | Social Worker | 525 Nw Lake Whitney Place, Ste 102 & 103, Port St Lucie, FL 34986 | 2016-02-19 |
| 1124486949 | Therapy Connection of The Treasure Coast | Speech-Language Pathologist | 549 Nw Lake Whitney Pl Ste 104, Port St Lucie, FL 34986 | 2016-02-08 |
| 1689050015 | Yudelquis Comas Sanchez | Internal Medicine | Lawnwood Regional Medical Center, 1700 S 23rd St, Fort Pierce, FL 34986 | 2015-08-07 |
| 1689056889 | Joshua Chupp | Dentist | 1384 Sw St. Lucie West Blvd, Port St. Lucie, FL 34986 | 2015-06-24 |
| 1366821720 | Kids Therapy Solutions | Occupational Therapist | 161 Sw Palm Dr # 201, Port St Lucie, FL 34986 | 2015-05-19 |
| 1134514086 | Comfortable Care Dental Health Professionals, Pa | Dentist | 1384 Sw St. Lucie, Port St. Lucie, FL 34986 | 2015-03-30 |
| 1750787586 | Timothy Michael Kennedy | Chiropractor | 1680 Sw Saint Lucie West Blvd Ste 204, Port St Lucie, FL 34986 | 2014-11-05 |
| Find all providers in zip 34986 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609269026 | Advent Health, LLC | General Practice | 9861 Sw Eastbrook Cir, Port St Lucie, FL 34987-2431 | 2015-03-10 |
| 1619125564 | Brenda Hernandez Reyes | General Practice | 672 Sw Prima Vista Blvd Ste 101, Port St Lucie, FL 34983-1820 | 2008-09-04 |
| 1427231562 | Coral Way Medical Center Inc | General Practice | 1940 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5510 | 2007-12-12 |
| 1912026857 | Lloyd Bergner | General Practice | 9729 Sw Eastbrook Cir, Port St Lucie, FL 34987-2429 | 2007-03-29 |
| 1265524862 | Jean-marie G Eugene | General Practice | 1362 Sw Bayshore Blvd, Port St Lucie, FL 34983-2929 | 2006-09-29 |
| 1083192819 | Tania Mclean Adult & Geriatric Primary Care Services, LLC | General Practice | 4182 Sw Baird St, Port St Lucie, FL 34953-3136 | 2018-08-02 |
| 1396199303 | Victor Juan Rivera | General Practice | 672 Sw Prima Vista Blvd Ste 102, Port St Lucie, FL 34983-1820 | 2016-04-15 |
| 1326479213 | Brittany Nobilette | General Practice | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2013-12-03 |
| 1275802787 | John R Collins | General Practice | 1800 Se Tiffany Ave, Port St Lucie, FL 34952-7521 | 2011-12-29 |
| 1336187988 | Sonshine Ambulatory Care Center | General Practice | 1405 Se Goldtree Dr, Suite # C, Port St Lucie, FL 34952-7563 | 2006-06-04 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34986 |
Please comment or provide details below to improve the information on DR. DIEUDONNE MITIAL.
| 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.