Organization
ICV PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILAINY C VALDES (OWNER)
(305) 763-0497
Entity
Organization
Contact information
Practice address
2266 NW 99TH ST, MIAMI, FL 33147-2138
(305) 763-0497
Mailing address
2266 NW 99TH ST, MIAMI, FL 33147-2138
(305) 763-0497
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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