Provider Demographics
NPI:1548905839
Name:PIERRE VIL, MARLYNE JOSEPH
Entity type:Individual
Prefix:
First Name:MARLYNE
Middle Name:JOSEPH
Last Name:PIERRE VIL
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 1:10700 CITY CENTER BLVD APT 5353
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33025-4424
Mailing Address - Country:US
Mailing Address - Phone:786-308-7941
Mailing Address - Fax:
Practice Address - Street 1:10700 CITY CENTER BLVD APT 5353
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33025-4424
Practice Address - Country:US
Practice Address - Phone:786-308-7941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-01
Last Update Date:2022-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH14035111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor