Provider Demographics
NPI:1124998810
Name:BONNE-ANNEE, MARIE C
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:C
Last Name:BONNE-ANNEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JOLIETTE
Other - Middle Name:
Other - Last Name:BONNE-ANNEE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:18350 NW 2ND AVE STE 501B
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169-4569
Mailing Address - Country:US
Mailing Address - Phone:786-395-4471
Mailing Address - Fax:954-617-5078
Practice Address - Street 1:18350 NW 2ND AVE STE 501B
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33169-4569
Practice Address - Country:US
Practice Address - Phone:786-395-4471
Practice Address - Fax:954-617-5078
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-07
Last Update Date:2025-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL239580376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty