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Organization
VALHALLA SUNSHINE LLC
Active
Organization
VALHALLA SUNSHINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA MALLOY (OWNER)
(516) 266-6186
Entity
Organization
Contact information
Practice address
5321 NE 18TH AVE APT 2, FORT LAUDERDALE, FL 33334-5883
(516) 266-6186
Mailing address
5321 NE 18TH AVE APT 2, FORT LAUDERDALE, FL 33334-5883
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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