Provider Demographics
NPI:1174141360
Name:CASSEUS, MARIE MIRLANDE
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:MIRLANDE
Last Name:CASSEUS
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 1:21300 SAN SIMEON WAY APT N1
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-1105
Mailing Address - Country:US
Mailing Address - Phone:786-399-4725
Mailing Address - Fax:
Practice Address - Street 1:20015 NE 3RD CT APT 5
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33179-2946
Practice Address - Country:US
Practice Address - Phone:786-399-4725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-14
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No372600000XNursing Service Related ProvidersAdult Companion