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Organization
INNER DISCOVERY MENTAL HEALTH SERVICES, PLLC
Active
Organization
INNER DISCOVERY MENTAL HEALTH SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINA KAACK APRN (CEO/ PSYCHIATRIC NURSE PRACTITIONER)
(786) 499-2926
Entity
Organization
Contact information
Practice address
4848 GRAPEVINE WAY, DAVIE, FL 33331-3358
(786) 499-2926
Mailing address
4474 WESTON RD # 1097, DAVIE, FL 33331-3195
(754) 333-1765
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
06/19/2023
Last updated
06/19/2023
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