Pedoussaut, Maryse Anne
Pedoussaut, Maryse Anne is an individual health care provider with primary practice located at 800 Sw 108Th Ave Ste 100 , Miami FL 33174. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as her primary health care specialty. Pedoussaut, Maryse Anne can be contacted via phone (305) 348-3627.Contact Information
Primary practice address
800 Sw 108Th Ave Ste 100
Miami FL 33174
Phone: (305) 348-3627
Fax: (305) 348-4261
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | ME 82118 | Florida |
Profile Details
| NPI number | 1881639458 |
|---|---|
| LBN Legal business name | Pedoussaut, Maryse Anne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2006 |
| Last updated | Sep 10th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881639458 | NPPES |
| Florida | MEDICAID | 2633906 |
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