Individual
CASSANDRA FREDERIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
11645 BISCAYNE BLVD STE 302-304, MIAMI, FL 33181-3155
(305) 538-8835
(305) 994-0054
Mailing address
11645 BISCAYNE BLVD STE 207, MIAMI, FL 33181-3138
(305) 538-8835
(305) 994-0054
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9532397
FL
363L00000X
Nurse Practitioner
Primary
11040978
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11040978
FL
Other
Enumeration date
07/21/2025
Last updated
08/07/2026
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