# MENTAL WELLNESS OF FLORIDA PA

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

## Provider details

- **NPI number:** 1699495218
- **Authorized official:** MRS. LISANDRA HERNANDEZ (OWNER/APRN)
- **Authorized official phone:** (786) 223-2181

## Contact information

- **Practice address:** 3661 S MIAMI AVE STE 503, MIAMI, FL 33133-4200
- **Practice address phone:** (305) 856-1082
- **Practice address fax:** (305) 459-1926
- **Mailing address:** 18000 SW 113TH AVE, MIAMI, FL 33157-4922
- **Mailing address phone:** (888) 684-2779

## Taxonomy

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

## Other

- **Enumeration date:** 09/01/2022
- **Last updated:** 01/24/2023