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Organization
HAVENNEXUS FAMILY PSYCHIATRY LLC
Active
Organization
HAVENNEXUS FAMILY PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOLULOPE ODUYEJO WILLIAMS (OWNER)
(386) 334-5657
Entity
Organization
Contact information
Practice address
50 LEANNI WAY UNIT B1, PALM COAST, FL 32137-4754
(386) 334-5657
Mailing address
210 S BEACH ST STE 202, DAYTONA BEACH, FL 32114-4430
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
02/26/2024
Last updated
06/21/2024
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