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Organization
MENTAL WELLNESS OF FLORIDA PA
Active
Organization
MENTAL WELLNESS OF FLORIDA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISANDRA HERNANDEZ (OWNER/APRN)
(786) 223-2181
Entity
Organization
Contact information
Practice address
3661 S MIAMI AVE STE 503, MIAMI, FL 33133-4200
(305) 856-1082
(305) 459-1926
Mailing address
18000 SW 113TH AVE, MIAMI, FL 33157-4922
(888) 684-2779
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
09/01/2022
Last updated
01/24/2023
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