Organization
MERGENCE PSYCHIATRIC HEALTH & WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN THOMAS (OWNER)
(305) 537-8143
Entity
Organization
Contact information
Practice address
1489 W PALMETTO PARK RD STE 410, BOCA RATON, FL 33486-3325
(305) 537-8143
Mailing address
5918 PATIO DR, BOCA RATON, FL 33433-5451
(305) 537-8143
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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