Sublimity Care, LLC
Nurse Practitioner, Psych/Mental Health in Wimauma, FL. Organization (NPI-2).
NPI number1164051041
StatusActive
Last updated in NPPESApr 3, 2020
Details
- NPI
- 1164051041
- Entity type
- Organization (NPI-2)
- Legal business name
- Sublimity Care, LLC
- Organization subpart
- No
- Enumeration date
- Apr 3, 2020
- Certification date
- Apr 3, 2020
- Last updated
- Apr 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
Practice location
14615 Crescent Rock DrWimauma, FL 33598-6186
Phone 813-898-3536
Mailing address
14615 Crescent Rock DrWimauma, FL 33598-6186
Phone 813-898-3536
Authorized official
Ingrid M Suazo
Owner
8138983536
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