Individual
JEAN-CLAUDE CREVECOEUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1190 NW 95TH ST, MIAMI, FL 33150-2063
(305) 835-6140
Mailing address
15812 SW 24TH ST, MIRAMAR, FL 33027-4267
(954) 235-4872
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP9295984
FL
363LP2300X
Primary Care Nurse Practitioner
ARNP9295984
FL
364SG0600X
Gerontology Clinical Nurse Specialist
ARNP9295984
FL
Other
Enumeration date
01/13/2016
Last updated
01/25/2016
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