Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SOPHIA BOURDEAU, LPN
Active Sole ProprietorMS. SOPHIA BOURDEAU, LPN is a Developmental Disabilities Clinic healthcare provider located in PORT ST LUCIE, Florida. NPI 1689104192 is currently active in the NPPES registry. Verify at CMS.
Developmental Disabilities Clinic · PORT ST LUCIE, FL
Registration Details
- NPI Number
- 1689104192
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 16, 2017 (9.1503596560225 yrs)
- Last Updated
- Jul 21, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
159 SW SOUTH DANVILLE CIRPORT ST LUCIE, FL, 349535929Browse FL providers · Browse ZIP 34953
- Phone
- 7542343487
- Primary Specialty
-
Developmental Disabilities Clinic
261QD1600X
Other Developmental Disabilities Clinic Providers in PORT ST LUCIE, FL
| Name | Credential | NPI |
|---|---|---|
| BRIAN TATUM | — | 1669984167 |
| PHILIPPE ALEXANDER | — | 1821501156 |
| TIFFANY LOSIUS | — | 1780197749 |
| MARLENE Y SAMUELS | MED-WAIVER PROVIDER | 1174037592 |
| SHAKERA ANN MORRIS | — | 1447753694 |
| SHANIKA N HARRIS | — | 1265028153 |
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.