Organization
GOOD SHEPHERD PSYCHIATRIC CONSULTANT, INC
Active
Other names
Good Shepherd Psychiatric Consultant, INC
Organization subpart
No
Provider details
NPI number
Authorized official
AMIR SHAHZAD (OFFICE MANAGER)
(916) 974-9542
Entity
Organization
Contact information
Practice address
9050 PINES BLVD STE 425-428, PEMBROKE PINES, FL 33024-6455
(954) 822-2754
Mailing address
510 NW 98TH ST, MIAMI, FL 33150-1617
(954) 822-2754
(954) 822-2754
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
A11138
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142787300
—
FL
01
—
5000
MENTAL HEALTH
FL
Enumeration date
08/29/2008
Last updated
08/24/2023
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