Beran D Miclisse
Beran D Miclisse is a Case Manager/Care Coordinator in Port St Lucie, Florida. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
567 NW Lake Whitney PlPort St Lucie, FL 34986-1629
Phone: (772) 337-8164
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1841911468 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 12, 2022 |
| Last updated in NPPES | September 12, 2022 |
| Certification date | September 11, 2022 |
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