Provider Demographics
NPI:1851959415
Name:HONORAT, DIEULUNE (APRN)
Entity Type:Individual
Prefix:
First Name:DIEULUNE
Middle Name:
Last Name:HONORAT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11925 NE 2ND AVE APT 216B
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-6162
Mailing Address - Country:US
Mailing Address - Phone:786-470-7944
Mailing Address - Fax:
Practice Address - Street 1:2800 PONCE DE LEON BLVD STE 1480
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-6921
Practice Address - Country:US
Practice Address - Phone:786-878-5503
Practice Address - Fax:786-552-9696
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-30
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11001175363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily