Organization
ADJUVA PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHTON THOMPSON DO (CEO)
(904) 729-1495
Entity
Organization
Contact information
Practice address
2449 NE 13TH AVE, WILTON MANORS, FL 33305-1303
(954) 295-2694
(954) 724-6258
Mailing address
2449 NE 13TH AVE, WILTON MANORS, FL 33305-1303
(954) 295-2694
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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