Organization
SHAAN& COMPANY, LLC
Active
Other names
Evolve Psychiatric Services
Organization subpart
No
Provider details
NPI number
Authorized official
CLINTON GIOIELLI (OWNER)
(407) 760-6172
Entity
Organization
Contact information
Practice address
231 W BAY AVE, LONGWOOD, FL 32750-4125
(074) 554-5804
Mailing address
1075 EDENS GATE CT, LONGWOOD, FL 32750-3980
(407) 731-0252
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/14/2023
Last updated
01/11/2024
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