Organization
PROMOVEO PSYCHIATRY AND WELLNESS P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BIBIANA SUSAIMANICKAM MD (CHIEF MEDICAL OFFICER)
(561) 299-0202
Entity
Organization
Contact information
Practice address
2691 NE 20TH ST, POMPANO BEACH, FL 33062-3022
(561) 299-0202
(561) 299-0505
Mailing address
2091 NE 36TH ST # 5472, LIGHTHOUSE POINT, FL 33064-7538
(561) 299-0202
(561) 299-0505
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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