Dr. Annemarie Etienne
Ophthalmologist
350 N Clyde Morris Blvd
Daytona Beach
, Florida 32114-2733
Dr. Annemarie Etienne
Ophthalmologist
350 N Clyde Morris Blvd
Daytona Beach
, Florida 32114-2733
(386) 676-7125
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Dr. Annemarie Etienne
- Po Box 9671
- Daytona Beach, FL
- Zip : 32120-9671
- Fax : (386) 676-7125
- Phone : (386) 676-7130
Second Address
- Dr. Annemarie Etienne
- 350 N Clyde Morris Blvd
- Daytona Beach, FL
- Zip : 32114-2733
- Fax : (386) 676-7186
- Phone : (386) 676-7103
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | ME86041 | FL |
National Provider Identifier
| NPI | 1013980655 |
|---|---|
| Provider Name | Dr. Annemarie Etienne |
| First Address | Daytona Beach, FL 32120-9671 |
| Second Address | Daytona Beach, FL 32114-2733 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/02/2006 |
| Last Update Date | 22/02/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1013980655 | MULTIPLAN (01) | FL |
| 1013980655 | TRICARE (01) | FL |
| 1013980655 | VHN (01) | FL |
| 13215 | BCBS (01) | FL |
| 272646700 | (05) | FL |
| 7237323 | AETNA (01) | FL |
| 9032053 | CIGNA (01) | FL |
| P00230246 | RAILROAD (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.