Individual provider Active NPI

Floride Douyon, APRN

  • Family Nurse Practitioner
  • Palm Beach Gardens, FL
National Provider Identifier
1740658509
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9377676 Issued in FL
Practice address
3502 Kyoto Gardens Dr Ste a
Palm Beach Gardens, FL 33410-2899
Phone
(561) 776-8891
Fax
(866) 436-2183
NPI assigned
Sep 10, 2015
Last updated
May 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9377676 FL Primary

Addresses

Primary practice location

3502 Kyoto Gardens Dr Ste a
Palm Beach Gardens, FL 33410-2899

Mailing address

11246 NW 46TH Dr
Coral Springs, FL 33076-2141

Other practice location 1

11246 NW 46th Dr
Coral Springs, FL 33076-2141
Phone (754) 244-6551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230531001595 FL Practitioner - Nurse Practitioner 8224495684
I20230726002490 WV Practitioner - Nurse Practitioner 8224495684 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9377676FLMDFamily Nurse Practitioner

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1740658509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11246 NW 46TH DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330762141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 KYOTO GARDENS DR STE A",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102899",
            "telephone_number": "561-776-8891",
            "fax_number": "866-436-2183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11246 NW 46th Dr",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330762141",
            "country_code": "US",
            "telephone_number": "754-244-6551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUYON",
        "first_name": "FLORIDE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-10",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9377676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.