Provider Demographics
NPI:1366278236
Name:FELSERG HEALTH LLC
Entity type:Organization
Organization Name:FELSERG HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP/PMHNP
Authorized Official - Prefix:MRS
Authorized Official - First Name:FELICIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERRE JEAN
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:786-200-2939
Mailing Address - Street 1:18117 BISCAYNE BLVD # 1554
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33160-2535
Mailing Address - Country:US
Mailing Address - Phone:786-200-2939
Mailing Address - Fax:
Practice Address - Street 1:15232 NE 5TH COURT
Practice Address - Street 2:
Practice Address - City:MIAMA
Practice Address - State:FL
Practice Address - Zip Code:33162
Practice Address - Country:US
Practice Address - Phone:786-200-2939
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service