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Metamorphosis Psyche Llc
Psychiatric/Mental Health Nurse Practitioner in Margate, Florida
NPI 1356855639

Metamorphosis Psyche Llc is a Psychiatric/Mental Health Nurse Practitioner based in Fort Lauderdale, FL and is specialized in Psychiatric/Mental Health. Metamorphosis Psyche Llc practices in Margate, FL. The NPI Number for Metamorphosis Psyche Llc is 1356855639 and holds a License No. 9295246 (Florida).

The current practice location address for Metamorphosis Psyche Llc is 6101 W Atlantic Blvd Ste 202, Margate, FL and can be reached out via phone at 954-906-4106 and via fax at 954-906-4029.

Location: 6101 W Atlantic Blvd Ste 202, Margate, FL, 33310-1077
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356855639
Provider Name
Metamorphosis Psyche Llc
Credential
Provider Entity Type
Organization
Address
6101 W Atlantic Blvd Ste 202, Margate, FL, 33310-1077
Phone Number
954-906-4106
Fax Number
954-906-4029
Provider Enumeration Date
11/26/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9295246 01 FL APRN
institution
Provider Business Practice Location Address Details
Address
6101 W Atlantic Blvd Ste 202
City
Margate
State
Florida
Zip
33063-5157
Phone Number
954-906-4106
Fax Number
954-906-4029
person
Provider Business Mailing Address Details
Address
6101 W Atlantic Blvd Ste 202
City
Margate
State
Florida
Zip
33063-5157
Phone Number
954-906-4106
Fax Number
954-906-4029
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
9295246 (Florida)
Definition
Definition to come...
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