Provider Demographics
NPI:1588253546
Name:JOSEPH, MYRLANDE
Entity type:Individual
Prefix:
First Name:MYRLANDE
Middle Name:
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3923 LAKE WORTH RD STE 201
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33461-4049
Mailing Address - Country:US
Mailing Address - Phone:561-837-1231
Mailing Address - Fax:
Practice Address - Street 1:3923 LAKE WORTH RD STE 201
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33461-4049
Practice Address - Country:US
Practice Address - Phone:561-837-1231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker