LUDGY RENAUD SUPPLICE


Address: 11261 Sw 164th Ter, Miami, FL 33157-2717
Phone: 7865433081

LUDGY RENAUD SUPPLICE (NPI# 1841772506) 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) 1841772506
Entity Type Individual
Full Name LUDGY RENAUD SUPPLICE
Credential FNP
Practice Address 11261 Sw 164th Ter
Miami
FL 33157-2717
Practice Telephone 7865433081
Mailing Telephone 7865433081
Enumeration Date 2018-08-29
Last Update Date 2018-08-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
9265816 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 11261 SW 164TH TER
City MIAMI
State FL
Zip Code 33157-2717

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City MIAMI
Zip Code 33157

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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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