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Ms. Myrlene Raquel Isme
Student in an Organized Health Care Education/Training Program in Hollywood, Florida
NPI 1083220248

Myrlene Raquel Isme is a Student in an Organized Health Care Education/Training Program based in Hollywood, FL. Myrlene Raquel Isme practices in Hollywood, FL. The NPI Number for Myrlene Raquel Isme is 1083220248 and holds a License No. IMT1853 (Florida).

The current practice location address for Myrlene Raquel Isme is 2209 N 42Nd Ave, Hollywood, FL and can be reached out via phone at 954-559-8795.

Location: 2209 N 42Nd Ave, Hollywood, FL, 33021-3519
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083220248
Provider Name
Myrlene Raquel Isme
Credential
Provider Entity Type
Individual
Gender
Female
Address
2209 N 42Nd Ave, Hollywood, FL, 33021-3519
Phone Number
954-559-8795
Fax Number
Provider Enumeration Date
09/22/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
I250556739560 01 FL FLORIDA DEPT MOTOR VEHICLES
institution
Provider Business Practice Location Address Details
Address
2209 N 42Nd Ave
City
Hollywood
State
Florida
Zip
33021-3519
Phone Number
954-559-8795
Fax Number
person
Provider Business Mailing Address Details
Address
2209 N 42Nd Ave
City
Hollywood
State
Florida
Zip
33021-3519
Phone Number
954-559-8795
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
IMT1853 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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