Individual
MISS THEOPHANE CLERVIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
801 GRAND CAYMAN CT, ORLANDO, FL 32835-1828
(407) 766-1039
Mailing address
801 GRAND CAYMAN CT, ORLANDO, FL 32835-1828
(407) 766-1039
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
9477752
FL
163WI0500X
Infusion Therapy Registered Nurse
9477752
FL
171M00000X
Case Manager/Care Coordinator
Primary
9477752
FL
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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