Mimi Myrlande Farride, | |
9243 Pineville Dr, Lake Worth, FL 33467-6176 | |
(561) 714-6616 | |
Not Available |
Full Name | Mimi Myrlande Farride |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 9243 Pineville Dr, Lake Worth, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275061426 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | ARNP9196724 (Florida) | Primary |
Entity Name | Center For Wellness Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932843992 PECOS PAC ID: 8022471515 Enrollment ID: O20230831000732 |
Mailing Address | Practice Location Address |
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Mimi Myrlande Farride, 9243 Pineville Dr, Lake Worth, FL 33467-6176 Ph: (561) 714-6616 | Mimi Myrlande Farride, 9243 Pineville Dr, Lake Worth, FL 33467-6176 Ph: (561) 714-6616 |
Raimundo Hernandez Zas, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4610 Weymouth St, Lake Worth, FL 33463 Phone: 786-277-7096 | |
Geralde St Surin Bridges, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6656 Rivermill Club Dr, Lake Worth, FL 33463 Phone: 786-333-7375 | |
Jami Lynn Fuccile, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7270 Copperfield Cir, Lake Worth, FL 33467 Phone: 561-716-0274 | |
Mary Gopeesingh, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5968 Western Way, Lake Worth, FL 33463 Phone: 561-307-7689 | |
Mrs. Tracy-ann Patrice Miriki, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8803 Willow Cove Ln, Lake Worth, FL 33467 Phone: 561-876-1706 | |
Osmel Santiesteban Molina, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 Sj St Apt 6, Lake Worth, FL 33460 Phone: 561-234-7925 | |
Ms. Suzelle Gauthier, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8483 Blue Cypress Dr, 8483 Blue Cypress Dr, Lake Worth, FL 33467 Phone: 561-856-8441 |