Provider Demographics
NPI:1184701005
Name:LIMOUSIN, PIERRE RICHARD (MD)
Entity type:Individual
Prefix:
First Name:PIERRE RICHARD
Middle Name:
Last Name:LIMOUSIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7374 SW 93RD AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3246
Mailing Address - Country:US
Mailing Address - Phone:305-274-2511
Mailing Address - Fax:305-275-9056
Practice Address - Street 1:7374 SW 93RD AVE STE 204
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3246
Practice Address - Country:US
Practice Address - Phone:305-274-2511
Practice Address - Fax:305-275-9056
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME96160207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL277989700Medicaid
03967OtherBCBS
FLME96160OtherMEDICAL DOCTOR LICENSE