Organization
COMPLETE CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DINAPOLES GALVAN APRN (CEO)
(312) 451-3853
Entity
Organization
Contact information
Practice address
484 NW 165TH STREET RD APT 409, NORTH MIAMI BEACH, FL 33169-6461
(312) 451-3853
Mailing address
520 N WESTERN AVE APT 3A, CHICAGO, IL 60612-3734
(312) 451-3853
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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