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Organization

AYOUB MENTAL HEALTH CLINIC, LLC

Active
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Organization

AYOUB MENTAL HEALTH CLINIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARIAN GERGES AYOUB M.B.B.CH., PMHNP-BC (OWNER)
(813) 808-1213
Entity
Organization

Contact information

Practice address
32732 PEZ LANDING LANE, WESLEY CHAPEL, FL 33543
(813) 803-2034
Mailing address
32732 PEZ LANDING LN, WESLEY CHAPEL, FL 33543-7259
(813) 808-1213

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—

Other

Enumeration date
08/13/2024
Last updated
08/13/2024
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