Organization
PALMETTO COMPREHENSIVE HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUDGY RENAUD SUPLICE (OWNER)
(786) 543-3081
Entity
Organization
Contact information
Practice address
11261 SW 164TH TER, MIAMI, FL 33157-2717
(786) 543-3081
Mailing address
11261 SW 164TH TER, MIAMI, FL 33157-2717
(786) 543-3081
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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