# GRACECARE AND WELLNESS TELEMEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750242400
- **Authorized official:** MYRLENE MIOT-DESMORNES (DIRECTOR)
- **Authorized official phone:** (305) 333-5938

## Contact information

- **Practice address:** 8358 W OAKLAND PARK BLVD STE 103, SUNRISE, FL 33351-7340
- **Practice address phone:** (305) 333-5938
- **Mailing address:** 8358 W OAKLAND PARK BLVD STE 103, SUNRISE, FL 33351-7340
- **Mailing address phone:** (305) 333-5938

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/21/2025
- **Last updated:** 11/21/2025