Provider Demographics
NPI:1174264824
Name:FRANCOIS-DECAMP, MARLINE
Entity Type:Individual
Prefix:
First Name:MARLINE
Middle Name:
Last Name:FRANCOIS-DECAMP
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 1:6800 SW 3RD ST
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33068-1547
Mailing Address - Country:US
Mailing Address - Phone:954-895-2155
Mailing Address - Fax:
Practice Address - Street 1:365 STIRRUP KEY BLVD
Practice Address - Street 2:
Practice Address - City:MARATHON
Practice Address - State:FL
Practice Address - Zip Code:33050-2943
Practice Address - Country:US
Practice Address - Phone:954-363-1011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-06
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11019068363LF0000X
FL9256983163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice