Organization
PSYCH-MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLULEYE ADIGUN MCAP (CEO)
(954) 997-1967
Entity
Organization
Contact information
Practice address
11924 NW 12TH ST, PEMBROKE PINES, FL 33026-3856
(954) 997-1967
Mailing address
11924 NW 12TH ST, PEMBROKE PINES, FL 33026-3856
(954) 997-1967
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/20/2019
Last updated
06/11/2019
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