Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WIDMARCK LUBERISSE SR, BHCM
Active Sole ProprietorWIDMARCK LUBERISSE SR, BHCM is a Community/Behavioral Health healthcare provider located in ORLANDO, Florida. NPI 1437724721 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · ORLANDO, FL
Registration Details
- NPI Number
- 1437724721
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 20, 2021 (5.27464444569 yrs)
- Last Updated
- May 20, 2021
- Licenses
-
101674 (FL)101674 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
929 WILSON RIDGE DR APT 1920ORLANDO, FL, 328186550Browse FL providers · Browse ZIP 32818
- Phone
- 3055028336
- Primary Specialty
-
Community/Behavioral Health
251S00000X
- Additional Specialty
- Community/Behavioral Health
Other Community/Behavioral Health Providers in ORLANDO, FL
| Name | Credential | NPI |
|---|---|---|
| ANALISA MCKINNEY | — | 1619226453 |
| KATERINA DESIREE MCNALLY | — | 1619377173 |
| GANESHRI RAMLOGAN | — | 1962805580 |
| YYLIAN PEREZ | — | 1992101836 |
| TANGELLA ROBINSON | — | 1750739504 |
| SAMUEL PIERRELOUIS | — | 1487105227 |
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.