Bournique, Marissa

Bournique, Marissa is an sole proprietor health care provider with primary practice located at 1700 Se Hillmoor Dr , Port St Lucie FL 34952-7539. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Bournique, Marissa can be contacted via phone (772) 335-9600.

Contact Information

Primary practice address
1700 Se Hillmoor Dr Port St Lucie FL 34952-7539
Phone: (772) 335-9600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X UO4447 Florida
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X OS15441 Florida

Profile Details

NPI number 1417332131
LBN Legal business name Bournique, Marissa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2015
Last updated Apr 8th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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