Provider Demographics
NPI:1174023956
Name:MICHEL POITEVIEN ARNP, LLC
Entity type:Organization
Organization Name:MICHEL POITEVIEN ARNP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:MR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:ISAIAH
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:786-282-1232
Mailing Address - Street 1:1726 NE 142ND ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-1330
Mailing Address - Country:US
Mailing Address - Phone:786-282-1232
Mailing Address - Fax:
Practice Address - Street 1:6245 MIRAMAR PKWY STE 102
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-3964
Practice Address - Country:US
Practice Address - Phone:754-273-9174
Practice Address - Fax:754-273-9175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-18
Last Update Date:2018-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center