Organization
GOOD SHEPHERD PSYCHIATRIC & MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTALE D PIERRE (TREASURER/MANAGER)
(352) 459-4164
Entity
Organization
Contact information
Practice address
9050 PINES BLVD STE 425-428, PEMBROKE PNES, FL 33024-6455
(954) 271-5676
(954) 271-5779
Mailing address
9050 PINES BLVD # 428, PEMBROKE PNES, FL 33024-6455
(954) 271-5676
(954) 271-5779
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/27/2023
Last updated
10/15/2024
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