Placide, Berlie

Placide, Berlie is an individual health care provider with primary practice located at 1095 Nw Saint Lucie West Blvd , Port St Lucie FL 34986-1719. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Placide, Berlie can be contacted via phone (772) 785-5570.

Contact Information

Primary practice address
1095 Nw Saint Lucie West Blvd Port St Lucie FL 34986-1719
Phone: (772) 785-5570
Fax: (772) 785-5553
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9103128 Florida

Profile Details

NPI number 1770621021
LBN Legal business name Placide, Berlie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Oct 9th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770621021 NPPES
Florida Other Y04SA FLORIDA BLUE
Florida MEDICAID 002296200 FLORIDA BLUE

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