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Organization

AWESOME MINDS PSYCHIATRIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AL BERRY (CREDENTIALING MANAGER)
(469) 915-4211
Entity
Organization

Contact information

Practice address
31233 CLARIDGE PL, WESLEY CHAPEL, FL 33543-5014
(407) 255-3310
Mailing address
31233 CLARIDGE PL, WESLEY CHAPEL, FL 33543-5014
(000) 000-0000

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
04/10/2023
Last updated
04/28/2024
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