Provider Demographics
NPI:1922766500
Name:PRESENDIEU, SYBILLE (APRN)
Entity Type:Individual
Prefix:
First Name:SYBILLE
Middle Name:
Last Name:PRESENDIEU
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:SYBILLE
Other - Middle Name:
Other - Last Name:PRESENDIEU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SYBILLE BELFORT
Mailing Address - Street 1:315 NW 189TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169-3946
Mailing Address - Country:US
Mailing Address - Phone:786-319-3847
Mailing Address - Fax:
Practice Address - Street 1:315 NW 189TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33169-3946
Practice Address - Country:US
Practice Address - Phone:786-319-3847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-01
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11016258363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL11016258OtherAPRN STATE LICENSURE NUMBER