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David Omobasuyi Llc
Psychiatric/Mental Health Nurse Practitioner in Sunrise, Florida
NPI 1255824355

David Omobasuyi Llc is a Psychiatric/Mental Health Nurse Practitioner based in Miramar, FL and is specialized in Psychiatric/Mental Health. David Omobasuyi Llc practices in Sunrise, FL. The NPI Number for David Omobasuyi Llc is 1255824355 and holds a License No. 2870242 (Florida).

The current practice location address for David Omobasuyi Llc is 9701 W Oakland Park Blvd, Sunrise, FL and can be reached out via phone at 954-572-4444.

Location: 9701 W Oakland Park Blvd, Sunrise, FL, 33027-4271
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255824355
Provider Name
David Omobasuyi Llc
Credential
Provider Entity Type
Organization
Address
9701 W Oakland Park Blvd, Sunrise, FL, 33027-4271
Phone Number
954-572-4444
Fax Number
Provider Enumeration Date
06/13/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9701 W Oakland Park Blvd
City
Sunrise
State
Florida
Zip
33351-7015
Phone Number
954-572-4444
Fax Number
person
Provider Business Mailing Address Details
Address
9701 W Oakland Park Blvd
City
Sunrise
State
Florida
Zip
33351-7015
Phone Number
954-572-4444
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
2870242 (Florida)
Definition
Definition to come...
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