Platinum Behavioral Health LLC
Nurse Practitioner, Psych/Mental Health in Vero Beach, FL. Organization (NPI-2).
NPI number1013617331
StatusActive
Last updated in NPPESMar 6, 2023
Details
- NPI
- 1013617331
- Entity type
- Organization (NPI-2)
- Legal business name
- Platinum Behavioral Health LLC
- Organization subpart
- No
- Enumeration date
- Mar 6, 2023
- Certification date
- Mar 6, 2023
- Last updated
- Mar 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Practice location
601 21st St Ste 300Vero Beach, FL 32960-0860
Phone 240-353-1018
Mailing address
601 21st St Ste 300Vero Beach, FL 32960-0860
Phone 240-353-1018
Authorized official
Krystle Brown
Billing Manager
4108006251
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