Individual
DR. MYRIAM PINCHINAT-VASSOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
671 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34984-5141
(772) 353-5716
(844) 367-0091
Mailing address
PO BOX 12616, FORT PIERCE, FL 34979-2616
(772) 353-5716
(844) 367-0091
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
9248954
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
9248954
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009960800
—
FL
01
—
3321668
CIGNA
FL
01
—
Y0FS4
FLORIDA BLUE
FL
Enumeration date
09/18/2012
Last updated
11/14/2022
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