Individual
SADEEP KUMBHAMUELIL JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
725 N 12TH AVE BLDG B, ARCADIA, FL 34266-8752
(863) 494-1242
(863) 993-0108
Mailing address
66 W FLAGLER ST STE 900, MIAMI, FL 33130-1807
(786) 755-1863
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
11029280
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11029280
FL
Other
Enumeration date
10/25/2023
Last updated
01/15/2025
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