Provider Demographics
NPI:1659136414
Name:SAINT FLEUR, MARIE M
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:M
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 1:223 SCHOOLSIDE DR
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33936-5056
Mailing Address - Country:US
Mailing Address - Phone:239-240-2959
Mailing Address - Fax:
Practice Address - Street 1:1970 MICHIGAN DR
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34759-5351
Practice Address - Country:US
Practice Address - Phone:863-800-4333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-20
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities