Provider Demographics
NPI:1336332386
Name:PIERRE-RICHARD LIMOUSIN MD PA
Entity Type:Organization
Organization Name:PIERRE-RICHARD LIMOUSIN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PIERRE-RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:LIMOUSIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-274-2511
Mailing Address - Street 1:8950 N KENDALL DR STE 305
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2131
Mailing Address - Country:US
Mailing Address - Phone:305-274-2511
Mailing Address - Fax:305-275-9056
Practice Address - Street 1:8950 N KENDALL DR
Practice Address - Street 2:305
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2144
Practice Address - Country:US
Practice Address - Phone:305-274-2511
Practice Address - Fax:305-275-9056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-23
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL96160207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL277989700Medicaid
FL96160OtherBCBS