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Organization

DAVID OMOBASUYI LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID OMOBASUYI ARNP, PMHNP-BC, DHSC (PRESIDENT)
(305) 898-7006
Entity
Organization

Contact information

Practice address
9701 W OAKLAND PARK BLVD, SUNRISE, FL 33351-7015
(954) 572-4444
Mailing address
15716 SW 26TH ST, MIRAMAR, FL 33027-4271
(305) 898-7006
(305) 898-7006

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2870242
FL

Other

Enumeration date
06/13/2018
Last updated
06/13/2018
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