Provider Demographics
NPI:1154526697
Name:MORIN, SYLVIE (DOM)
Entity type:Individual
Prefix:MRS
First Name:SYLVIE
Middle Name:
Last Name:MORIN
Suffix:
Gender:F
Credentials:DOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 N BABCOCK ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32935-6787
Mailing Address - Country:US
Mailing Address - Phone:321-259-0555
Mailing Address - Fax:321-259-0663
Practice Address - Street 1:402 N BABCOCK ST
Practice Address - Street 2:SUITE 101
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32935-6787
Practice Address - Country:US
Practice Address - Phone:321-259-0555
Practice Address - Fax:321-259-0663
Is Sole Proprietor?:No
Enumeration Date:2007-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1621171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist