Organization
PARADISE BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIZYL F DAMAYO MD (OWNER)
(941) 347-8341
Entity
Organization
Contact information
Practice address
25097 OLYMPIA AVE STE 201, PUNTA GORDA, FL 33950-3914
(941) 347-8341
(941) 347-7702
Mailing address
25097 OLYMPIA AVE STE 201, PUNTA GORDA, FL 33950-3914
(941) 347-8341
(941) 347-7702
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
ME114111
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103283300
—
FL
Enumeration date
04/26/2017
Last updated
01/25/2024
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