Search › Florida › 207RG0100X
Marissa Bournique
NPI 1417332131 · on the registry since 2015 · sole proprietor
Practice
- Address
- 1700 Se Hillmoor Dr
Port St Lucie, FL 34952 - Phone
- (772) 335-9600
- Organisation at this address
- Bykota Health, Pllc
St Lucie Optical Inc
Cherryl Williams Physician
Executive Healthcare, Inc.
Marie Addly Cambronne Md PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 35
Registry record
- Primary taxonomy
- 207RG0100X
207RG0100X
- Also registered as
- 207R00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-04-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida