Organization
EQUILIBRIUM COMMUNITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANET BONET GONGORA APRN (PRESIDENT)
(305) 219-3240
Entity
Organization
Contact information
Practice address
9570 SW 107TH AVE STE 201, MIAMI, FL 33176-2791
(305) 219-3240
Mailing address
9570 SW 107TH AVE STE 201, MIAMI, FL 33176-2791
(305) 219-3240
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
09/15/2022
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