Organization
SPARTAN HEALTH ALLIANCE LLC
Active
Other names
Suntree Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARRY W CARROLL IV APRN, FNP-C, PMHNP (MGR)
(954) 205-4551
Entity
Organization
Contact information
Practice address
3040 N WICKHAM RD STE 3, MELBOURNE, FL 32935-2369
(321) 456-9653
(321) 204-9168
Mailing address
3040 N WICKHAM RD STE 3, MELBOURNE, FL 32935-2369
(321) 456-9653
(321) 204-9168
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/07/2022
Last updated
08/21/2023
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