Jean Raynald Delice, | |
111 Nw 183rd St Ste 203, Miami Gardens, FL 33169-4578 | |
(305) 878-9718 | |
Not Available |
Full Name | Jean Raynald Delice |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 111 Nw 183rd St Ste 203, Miami Gardens, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801555248 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 11012079 (Florida) | Primary |
Entity Name | Heavenly Soul's Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689248064 PECOS PAC ID: 2961808118 Enrollment ID: O20210914000416 |
Mailing Address | Practice Location Address |
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Jean Raynald Delice, 111 Nw 183rd St Ste 203, Miami Gardens, FL 33169-4578 Ph: (305) 878-9718 | Jean Raynald Delice, 111 Nw 183rd St Ste 203, Miami Gardens, FL 33169-4578 Ph: (305) 878-9718 |
Marisol D Casas Buchillon, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19150 Nw 44th Ave, Miami Gardens, FL 33055 Phone: 786-663-8524 | |
Mrs. Youseline Augustin-trevol, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1466nw 208th St, 1466 Nw 208 St Miami Gardens Fl 33169, Miami Gardens, FL 33169 Phone: 305-586-6190 | |
Joy J Munajj-brown, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20612 Nw 27th Ave, Miami Gardens, FL 33056 Phone: 305-637-6400 Fax: 305-636-5155 | |
Misleidys Rivero Martin, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2851 Nw 175th St, Miami Gardens, FL 33056 Phone: 305-336-8304 | |
Tania Gonzalez Diaz, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18463 Nw 52nd Psge, Miami Gardens, FL 33055 Phone: 786-269-1606 | |
Miguel Angel Arredondo Lopez, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18300 Nw 62nd Ave Ste 300, Miami Gardens, FL 33015 Phone: 305-628-4600 Fax: 305-628-8090 | |
Mrs. Francine Colas, MSN, ARNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 581 Nw 183rd St, Miami Gardens, FL 33169 Phone: 305-651-1690 |