Organization
TWELVE OAKS PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOHN HERNANDEZ ARNP (OWNER)
(954) 295-5825
Entity
Organization
Contact information
Practice address
10400 GRIFFIN RD STE 201, DAVIE, FL 33328-3321
(954) 295-5825
(754) 315-2744
Mailing address
9441 SW 50TH ST, COOPER CITY, FL 33328-4142
(954) 295-5825
(754) 315-2744
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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