Organization
PRACTITIONERS ALLIANCE BEHAVIORAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL ESTRADA APRN (PMHNP-BC)
(863) 875-6063
Entity
Organization
Contact information
Practice address
7504 CYPRESS GARDENS BLVD STE 7504, WINTER HAVEN, FL 33884-3200
(863) 875-6063
(863) 875-6086
Mailing address
7450 CYPRESS GARDENS BLVD STE 7504, WINTER HAVEN, FL 33884-6200
(863) 875-6063
(863) 875-6086
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/15/2020
Last updated
01/14/2022
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