Organization · Type 2 NPI
El-Shaddai Elohim Medical Center
Psychiatric/Mental Health Nurse Practitioner · Hollywood, FL
NPI number
1730808940
Active
Practice location
10000 Stirling Rd Ste 12
Hollywood, FL 33024-8067
Mailing address
15635 SW 52nd Ct
Miramar, FL 33027-4982
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1730808940
El-Shaddai Elohim Medical Center's National Provider Identifier is 1730808940, issued on Aug 23, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Hollywood, FL. The record was last updated on Sep 6, 2024.