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Organization

EMERALD EAGLE HEALING COLLECTIVE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TAMARA RAPHAELI (CEO)
(615) 600-7398
Entity
Organization

Contact information

Practice address
6277 CALLE DE HIDALGO, NAVARRE, FL 32566-8927
(615) 600-7398
Mailing address
6277 CALLE DE HIDALGO, NAVARRE, FL 32566-8927
(615) 600-7398

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
07/11/2025
Last updated
07/11/2025
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