Individual
MRS. NADINE MARTHE PHILOGENE-VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17615 SW 97 AVENUE, VILLAGE OF PALMETTO BAY, FL 33157
(786) 624-2670
Mailing address
17615 SW 97 AVENUE, VILLAGE OF PALMETTO BAY, FL 33157
(786) 624-2670
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
222Q00000X
Developmental Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
761291500
—
FL
05
—
811949000
—
FL
Enumeration date
09/12/2006
Last updated
02/17/2011
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