Individual
MISHELA GEVORKYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1046 MAR WALT DR # 200, FORT WALTON BEACH, FL 32547-6645
(850) 243-2229
Mailing address
92 SW 3RD ST, MIAMI, FL 33130-2998
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11011131
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11011131
FL
Other
Enumeration date
04/27/2021
Last updated
02/24/2025
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