Provider Demographics
NPI:1225363005
Name:DYE, MIRINE R (MPH)
Entity Type:Individual
Prefix:
First Name:MIRINE
Middle Name:R
Last Name:DYE
Suffix:
Gender:F
Credentials:MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 HARBOR DR
Mailing Address - Street 2:
Mailing Address - City:TAVERNIER
Mailing Address - State:FL
Mailing Address - Zip Code:33070-2350
Mailing Address - Country:US
Mailing Address - Phone:305-852-3601
Mailing Address - Fax:
Practice Address - Street 1:134 HARBOR DR
Practice Address - Street 2:
Practice Address - City:TAVERNIER
Practice Address - State:FL
Practice Address - Zip Code:33070-2350
Practice Address - Country:US
Practice Address - Phone:305-852-3601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-12
Last Update Date:2009-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No374J00000XNursing Service Related ProvidersDoula