Provider Demographics
NPI:1013641133
Name:DUPLESSY, MARIE BEATRICE
Entity Type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:BEATRICE
Last Name:DUPLESSY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6635 RACQUET CLUB DR
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33319-5026
Mailing Address - Country:US
Mailing Address - Phone:561-352-5618
Mailing Address - Fax:954-999-0113
Practice Address - Street 1:1560 SAWGRASS CORPORATE PKWY FL 4
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33323-2855
Practice Address - Country:US
Practice Address - Phone:954-999-0983
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-14
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9457006163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse