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Organization
SON RICE MENTAL CENTER LLC
Active
Organization
SON RICE MENTAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN OLIVA APRN (APRN)
(561) 319-1847
Entity
Organization
Contact information
Practice address
9894 NW 82ND AVE APT 303, HIALEAH GARDENS, FL 33016-2531
(561) 319-1847
(786) 610-1180
Mailing address
9894 NW 82ND AVE APT 303, HIALEAH GARDENS, FL 33016-2531
(561) 319-1847
(786) 610-1180
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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