Provider Demographics
NPI:1134935588
Name:THERMY JEAN BAPTISTE, REGINE
Entity type:Individual
Prefix:
First Name:REGINE
Middle Name:
Last Name:THERMY JEAN BAPTISTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:REGINE
Other - Middle Name:
Other - Last Name:THERMY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14945 GARDEN DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33168-4955
Mailing Address - Country:US
Mailing Address - Phone:786-667-1818
Mailing Address - Fax:
Practice Address - Street 1:14945 GARDEN DR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33168-4955
Practice Address - Country:US
Practice Address - Phone:786-667-1818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program