Organization · Type 2 NPI
Lotus Divine Healthcare Inc
Psychiatric/Mental Health Nurse Practitioner · Davie, FL
NPI number
1871414508
Active
Practice location
12555 Orange Dr # 4007
Davie, FL 33330-4304
Mailing address
1538 NW 159th Ave
Pembroke Pines, FL 33028-1696
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 1871414508
Lotus Divine Healthcare Inc's National Provider Identifier is 1871414508, issued on Jul 21, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Davie, FL. The record was last updated on Jul 21, 2026.