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Organization
BLUE SEA MENTAL HEALTH PRACTITIONERS LLC
Active
Organization
BLUE SEA MENTAL HEALTH PRACTITIONERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA MICHELLE BAXTER APRN (OWNER)
(386) 232-8089
Entity
Organization
Contact information
Practice address
381 PALM COAST PKWY SW UNIT 2, PALM COAST, FL 32137-4782
(386) 232-8089
Mailing address
381 PALM COAST PKWY SW UNIT 2, PALM COAST, FL 32137-4782
(386) 232-8089
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
03/03/2023
Last updated
11/12/2024
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