Organization
ADELANTE HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS MONROE (OWNER)
(410) 212-7649
Entity
Organization
Contact information
Practice address
410 BLANDING BLVD STE 10-240, ORANGE PARK, FL 32073-5051
(410) 212-7649
Mailing address
410 BLANDING BLVD STE 10-240, ORANGE PARK, FL 32073-5051
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/22/2024
Last updated
03/25/2024
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