Provider Demographics
NPI:1093198574
Name:PICARD, AMARILYS (BS)
Entity Type:Individual
Prefix:
First Name:AMARILYS
Middle Name:
Last Name:PICARD
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7550 FUTURES DR # 104-105
Mailing Address - Street 2:NONE
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-9095
Mailing Address - Country:US
Mailing Address - Phone:321-424-4349
Mailing Address - Fax:
Practice Address - Street 1:708 VIRGINIA WOODS LN
Practice Address - Street 2:NONE
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32824-7547
Practice Address - Country:US
Practice Address - Phone:321-424-4349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-02
Last Update Date:2015-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator