Provider Demographics
NPI:1932084092
Name:RAYMONVIL, MARIE NOEL
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:NOEL
Last Name:RAYMONVIL
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 1:3325 HOLLYWOOD BLVD STE 204D
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-6926
Mailing Address - Country:US
Mailing Address - Phone:786-663-9661
Mailing Address - Fax:
Practice Address - Street 1:3325 HOLLYWOOD BLVD STE 204D
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-6926
Practice Address - Country:US
Practice Address - Phone:786-663-9661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-07
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCNA67802374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide