Edward Prince Etienne

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3275 NW 99TH Way
Coral Springs, FL 33065-4024

Phone

(954) 357-5005

Fax

(354) 357-6533

NPI assigned

Jan 27, 2025

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Broward County

  • Substance Abuse Rehabilitation Facility
  • Coral Springs, FL
  • NPI 1346913829
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1467265355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19830 NW MIAMI CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331693361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3275 NW 99TH WAY",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654024",
            "telephone_number": "954-357-5005",
            "fax_number": "354-357-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETIENNE",
        "first_name": "EDWARD",
        "middle_name": "PRINCE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yanisleidy Estevez Monteagudo, FNP
• Brittney N Estwick, CNA
• Layali Etayem, LM
• Amanda Etengoff, LMFT
• Doltaine Etienne
• Eugene J. Strasser, M.D., P.a.
• Ysaac Eusebio Eusebio Ramirez, MD
• Carline Eustache
• Blake Joseph Evans, MD
• Evenly Southeast, PLLC

• Case Manager/Care Coordinator in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.