Organization
SEALIFE PSYCHIATRIC SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VANESSA ROXANE LONG MSN, ARNP-BC (PMHNP, PRESIDENT)
(954) 851-9690
Entity
Organization
Contact information
Practice address
14201 W SUNRISE BLVD, SUITE 208, SUNRISE, FL 33323-3207
(954) 851-9690
(954) 851-9688
Mailing address
14201 W SUNRISE BLVD, STE 208, SUNRISE, FL 33323-3207
(954) 851-9690
(954) 851-9688
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9312887
FL
Other
Enumeration date
02/14/2011
Last updated
08/05/2013
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