Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARISSA BOURNIQUE
Active Sole ProprietorMARISSA BOURNIQUE is a Gastroenterology healthcare provider located in PORT ST LUCIE, Florida. NPI 1417332131 is currently active in the NPPES registry. Verify at CMS.
Gastroenterology · PORT ST LUCIE, FL
Registration Details
- NPI Number
- 1417332131
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 23, 2015 (11.088468433152 yrs)
- Last Updated
- Apr 8, 2021
- Licenses
-
UO4447 (FL)OS15441 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1700 SE HILLMOOR DRPORT ST LUCIE, FL, 349527539Browse FL providers · Browse ZIP 34952
- Phone
- 7723359600
- Primary Specialty
-
Gastroenterology
207RG0100X
- Additional Specialty
- Gastroenterology
Other Gastroenterology Providers in PORT ST LUCIE, FL
| Name | Credential | NPI |
|---|---|---|
| JOHN COURTNEY KAUFMAN | M.D. | 1841283546 |
| STEVEN M KAPPLER | M.D. | 1265490163 |
| DR. JAYSHREE MATADIAL | MD | 1568416030 |
| DR. KENNETH R KOHEN | M.D. | 1912940479 |
| EDWIN BENEDICT FLANAGAN | D.O. | 1043239866 |
| CELSO E PINEIRO | M.D. | 1053325118 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.