Organization
HEAVENLY SOUL'S CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSIE MICHEL PMHNP-BC (MANAGER)
(786) 999-9909
Entity
Organization
Contact information
Practice address
13000 NE 12TH AVE, NORTH MIAMI, FL 33161-4305
(786) 999-9909
Mailing address
16756 NE 4TH CT, NORTH MIAMI BEACH, FL 33162-3975
(786) 999-9909
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
08/06/2021
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