# HEART 623 HEART

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336730951
- **Authorized official:** MS. EDLYNE JOSEPH ARNP (PMHNP)
- **Authorized official phone:** (954) 480-3072

## Contact information

- **Practice address:** 14201 W SUNRISE BLVD STE 208, SUNRISE, FL 33323-3207
- **Practice address phone:** (954) 480-3072
- **Mailing address:** 4846 N UNIVERSITY DR STE 612, LAUDERHILL, FL 33351-4510
- **Mailing address phone:** (954) 480-3072

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/27/2021
- **Last updated:** 03/24/2025