Individual
DENEZE M DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7957 ORLEANS ST, MIRAMAR, FL 33023-3561
(786) 985-0690
(754) 888-9175
Mailing address
7957 ORLEANS ST, MIRAMAR, FL 33023-3561
(786) 985-0690
(754) 888-9175
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
24912
FL
251J00000X
Nursing Care Agency
Primary
30212360
FL
253Z00000X
In Home Supportive Care Agency
28230
FL
302R00000X
Health Maintenance Organization
—
FL
372600000X
Adult Companion
24912
FL
374U00000X
Home Health Aide
RAHC113392
FL
376J00000X
Homemaker
235358
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025122500
—
FL
05
—
101222400
—
FL
05
—
101375000
—
FL
05
—
111194600
—
FL
Enumeration date
06/20/2018
Last updated
05/16/2022
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