Individual provider · Type 1 NPI

Michael Zack Jantaworn, APRN

Psychiatric/Mental Health Nurse Practitioner · Miramar, FL

NPI number 1063223741 Active

Practice location

2050 Civic Center Pl Fl 3
Miramar, FL 33025-7803

Call (954) 262-9498 Map

Mailing address

407 Lincoln Rd, Suite 6H #1075
Miami Beach, FL 33139

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X11036699 (FL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1063223741

Michael Zack Jantaworn, APRN's National Provider Identifier is 1063223741, issued on Jan 14, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Miramar, FL. The record was last updated on Jan 14, 2025.