Provider Demographics
NPI:1386819225
Name:PERARD-FRANCOIS, SUZIE
Entity Type:Individual
Prefix:MRS
First Name:SUZIE
Middle Name:
Last Name:PERARD-FRANCOIS
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 1:1330 NE 203RD ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33179-5150
Mailing Address - Country:US
Mailing Address - Phone:305-770-0869
Mailing Address - Fax:305-653-9560
Practice Address - Street 1:1330 NE 203RD ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33179-5150
Practice Address - Country:US
Practice Address - Phone:305-770-0869
Practice Address - Fax:305-653-9560
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL230331100171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL230331100Medicaid