Organization
GARNET HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOTUNRAYO IBRAHEEM NP (NURSE PRACTITIONER)
(305) 370-9023
Entity
Organization
Contact information
Practice address
156 NW 54TH ST, MIAMI, FL 33127-1716
(305) 370-9023
Mailing address
19821 NW 2ND AVE # 158, MIAMI GARDENS, FL 33169-3341
(305) 370-9023
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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