Provider Demographics
NPI:1720883580
Name:LOUIS CIDEY, MARIE SALOMEE
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:SALOMEE
Last Name:LOUIS CIDEY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:328 NW 40TH TER
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-7339
Mailing Address - Country:US
Mailing Address - Phone:561-506-1109
Mailing Address - Fax:
Practice Address - Street 1:328 NW 40TH TER
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-7339
Practice Address - Country:US
Practice Address - Phone:561-506-1109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11037162363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily