Individual
IRLANDE KATHIA CREVECOEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1240 NW 119TH ST, MIAMI, FL 33167-3232
(305) 685-5688
(305) 687-1817
Mailing address
8333 NW 53RD ST FL 6, DORAL, FL 33166-4783
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9101753
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112542100
—
FL
Enumeration date
10/25/2006
Last updated
06/03/2026
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