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Organization

SOUL PSYCHIATRY -FAMILY CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ARTHUR BROUSE APRN-PMHNP (PRESIDENT)
(801) 369-4544
Entity
Organization

Contact information

Practice address
533 N NOVA RD STE 203, ORMOND BEACH, FL 32174-4422
(386) 672-7175
(386) 672-0771
Mailing address
533 N NOVA RD STE 203, ORMOND BEACH, FL 32174-4422
(386) 672-7175
(386) 672-0771

Taxonomy

Speciality
Code
Description
License number
State
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary

Other

Enumeration date
07/15/2022
Last updated
07/15/2022
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