Organization
GRATIA ADVANCED HEALTH PRACTICE L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VLADYMIR GRATIA ARNP (OWNER)
(561) 783-3739
Entity
Organization
Contact information
Practice address
2054 VISTA PKWY STE 400, WEST PALM BEACH, FL 33411-6742
(321) 261-2009
Mailing address
2054 VISTA PKWY STE 400, WEST PALM BEACH, FL 33411-6742
(561) 783-3739
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/07/2023
Last updated
09/20/2023
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