Provider Demographics
NPI:1245019827
Name:REMY, MARIE BERNITE
Entity type:Individual
Prefix:
First Name:MARIE BERNITE
Middle Name:
Last Name:REMY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10103 BOYNTON PLACE CIR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-2613
Mailing Address - Country:US
Mailing Address - Phone:786-468-6613
Mailing Address - Fax:
Practice Address - Street 1:10103 BOYNTON PLACE CIR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-2613
Practice Address - Country:US
Practice Address - Phone:786-468-6613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide