Individual
RAJALAKSHMI SURESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
7369 SHERIDAN ST STE 203, HOLLYWOOD, FL 33024-2776
(954) 369-4111
(954) 350-0909
Mailing address
7369 SHERIDAN ST STE 203, HOLLYWOOD, FL 33024-2776
(954) 369-4111
(954) 350-0909
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APRN11024854
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5019641
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11024854
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119729900
—
FL
Enumeration date
02/23/2023
Last updated
12/12/2025
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