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Organization
TRANQUILITY OASIS PSYCHIATRY LLC
Active
Organization
TRANQUILITY OASIS PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY CHRISTINE WOMBLES NP (CEO)
(863) 651-6266
Entity
Organization
Contact information
Practice address
307 PONTOTOC ST, AUBURNDALE, FL 33823-3444
(863) 651-6266
Mailing address
307 PONTOTOC ST, AUBURNDALE, FL 33823-3444
(863) 602-3797
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/02/2024
Last updated
06/27/2024
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