Provider Demographics
NPI:1467935536
Name:SAINT-FLEUR, MARLY
Entity Type:Individual
Prefix:
First Name:MARLY
Middle Name:
Last Name:SAINT-FLEUR
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 1:20730 NE 4TH PL APT 204
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33179-1758
Mailing Address - Country:US
Mailing Address - Phone:786-237-8890
Mailing Address - Fax:
Practice Address - Street 1:20730 NE 4TH PL APT 204
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33179-1758
Practice Address - Country:US
Practice Address - Phone:786-237-8890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-13
Last Update Date:2018-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5156515164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse