Individual
MARIE HAMID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
136 DEAUVILLE AVE NE, PALM BAY, FL 32907-3031
(786) 423-5359
Mailing address
136 DEAUVILLE AVE NE, PALM BAY, FL 32907-3031
(786) 423-5359
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906978
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6906978
AHCA
FL
Enumeration date
01/23/2019
Last updated
01/23/2019
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