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Organization
SPARK INSIGHT SOLUTIONS LLC
Active
Organization
SPARK INSIGHT SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IZABELLA WALDO (NP/OWNER)
(305) 609-8634
Entity
Organization
Contact information
Practice address
382 NE 191ST ST # 270692, MIAMI, FL 33179-3899
(305) 609-8634
Mailing address
382 NE 191ST ST # 270692, MIAMI, FL 33179-3899
(305) 609-8634
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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