Individual
JOHANNE BAZELAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1380 N KROME AVE STE 101, FLORIDA CITY, FL 33034-2406
(786) 255-8131
Mailing address
1380 N KROME AVE STE 101, FLORIDA CITY, FL 33034-2406
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5260361
FL
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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