Organization
FAMH FOR ALL MENTAL HEALTH PSYCHIATRIC TELEMEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK D NANKIVELL (CTO)
(877) 400-0540
Entity
Organization
Contact information
Practice address
4300 BISCAYNE BLVD STE 203, MIAMI, FL 33137-3255
(877) 400-0540
Mailing address
4300 BISCAYNE BLVD STE 203, MIAMI, FL 33137-3255
(877) 400-0540
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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