Provider Demographics
NPI:1396347217
Name:CHOUTE-EDOUARD, SONIA (PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:SONIA
Middle Name:
Last Name:CHOUTE-EDOUARD
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 NE 82ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33138-3947
Mailing Address - Country:US
Mailing Address - Phone:786-333-7017
Mailing Address - Fax:
Practice Address - Street 1:12550 BISCAYNE BLVD
Practice Address - Street 2:SUITE 800
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-4029
Practice Address - Country:US
Practice Address - Phone:786-228-6612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-16
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11010011363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health