Individual
MR. ANTOINE ROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
18356 NW 47TH AVE, MIAMI, FL 33055-6304
(786) 953-4612
(786) 953-8534
Mailing address
18356 NW 47TH AVE, MIAMI, FL 33055-6304
(786) 953-4612
(786) 953-8534
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/08/2016
Last updated
10/19/2016
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