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Organization

EL-SHADDAI ELOHIM MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHERLY M BOULAY DNP, PMHNP-BC, FNP-C (PRESIDENT)
(954) 815-7268
Entity
Organization

Contact information

Practice address
10000 STIRLING RD STE 12, HOLLYWOOD, FL 33024-8067
(954) 815-7268
Mailing address
15635 SW 52ND CT, MIRAMAR, FL 33027-4982
(954) 815-7268
(954) 505-7943

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
08/23/2022
Last updated
09/06/2024
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