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Organization
PMP WELLNESS L.L.C.
Active
Organization
PMP WELLNESS L.L.C.
Active
Other names
Elevated Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
IMARA BLUME PMHNP-BC (PROVIDER)
(689) 290-6776
Entity
Organization
Contact information
Practice address
346 FREEMAN ST, LONGWOOD, FL 32750-4171
(689) 290-6776
Mailing address
346 FREEMAN ST UNIT 210, LONGWOOD, FL 32750-4171
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
11/24/2023
Last updated
06/02/2024
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