Provider Demographics
NPI:1235938267
Name:VIEUX-THEODORE, MYRIAME
Entity type:Individual
Prefix:
First Name:MYRIAME
Middle Name:
Last Name:VIEUX-THEODORE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 NW 91ST TER
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-1162
Mailing Address - Country:US
Mailing Address - Phone:754-244-0132
Mailing Address - Fax:
Practice Address - Street 1:290 HOLLOWAY DR
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33317-2441
Practice Address - Country:US
Practice Address - Phone:954-812-3413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor