Organization
ROYAL BEHAVIORAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO GUTIERREZ (OWNER)
(786) 800-8768
Entity
Organization
Contact information
Practice address
8332 COMMERCE WAY APT 412, MIAMI LAKES, FL 33016-1634
(786) 800-8768
Mailing address
8332 COMMERCE WAY APT 412, MIAMI LAKES, FL 33016-1634
(786) 800-8768
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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