# BLACK HEARTS GALLERY

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

## Provider details

- **NPI number:** 1457110264
- **Authorized official:** JENNIFER RAMIREZ APRN (NURSE PRACTITIONER)
- **Authorized official phone:** (954) 593-4675

## Contact information

- **Practice address:** 801 W SR 436, ALTAMONTE SPRINGS, FL 32714-3054
- **Practice address phone:** (954) 593-4675
- **Mailing address:** 1177 WOODS LANDING DR, MINNEOLA, FL 34715-6067

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/14/2024
- **Last updated:** 03/14/2024