Provider Demographics
NPI:1831692888
Name:CHOISEUL-PRASLIN, BYRON (ARNP)
Entity type:Individual
Prefix:
First Name:BYRON
Middle Name:
Last Name:CHOISEUL-PRASLIN
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6412 NW 200TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-2148
Mailing Address - Country:US
Mailing Address - Phone:786-201-9031
Mailing Address - Fax:
Practice Address - Street 1:6412 NW 200TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-2148
Practice Address - Country:US
Practice Address - Phone:786-201-9031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-15
Last Update Date:2018-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9312009363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily