Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Renise Frederic

Individual provider Family Nurse Practitioner · NPI 1679170427

Renise Frederic is a Family Nurse Practitioner in Miramar, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020

Practice location Address checks out

11750 Canal St Unit 220
Miramar, FL 33025-7947
Phone: (850) 504-9277
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN11009118 (FL)

Record details

NPI number1679170427
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 5, 2020
Last updated in NPPESOctober 21, 2020
Certification dateOctober 21, 2020
Mailing address11750 Canal St Unit 220, Miramar, FL 33025-7947

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