MARYSE A. PEDOUSSAUT M.D – NPI #1881639458
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

MARYSE PEDOUSSAUT is a physician located in MIAMI, FL. NPPES has assigned the NPI number 1881639458 to MARYSE PEDOUSSAUT on June 18, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

The NPI profile was previously updated about 8 years ago on Sep 10, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARYSE PEDOUSSAUT below.

NPI Profile for
MARYSE A. PEDOUSSAUT

NPI Number
1881639458
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MARYSE A. PEDOUSSAUT
Credentials
M.D
Primary location
800 SW 108TH AVE STE 100
MIAMI, FL 33174
Phone: (305) 348-3627 Fax: (305) 348-4261
Mailing address
800 SW 108TH AVENUE, SUITE 100
MIAMI LAKES, FL 33014-6540
Phone: (305) 348-3627 Fax: (305) 348-4261
Sole Proprietor
No
Updated
Identifiers

Identifiers for MARYSE PEDOUSSAUT

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL2633906
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0505X
- Family Medicine / Adult Medicine (Primary)
FL ME 82118

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.