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Individual

RINA SHIELLA MIRANDA SACULLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
700 CARLYLE AVE SE, PALM BAY, FL 32909-4533
(330) 880-7364
Mailing address
700 CARLYLE AVE SE, PALM BAY, FL 32909-4533
(330) 880-7364

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11042783
FL

Other

Enumeration date
01/20/2026
Last updated
01/20/2026
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