Equilibrium Community Care
Nurse Practitioner, Psych/Mental Health in Miami, FL. Organization (NPI-2).
NPI number1477282978
StatusActive
Last updated in NPPESSep 15, 2022
Details
- NPI
- 1477282978
- Entity type
- Organization (NPI-2)
- Legal business name
- Equilibrium Community Care
- Organization subpart
- No
- Enumeration date
- Jun 9, 2022
- Certification date
- Sep 15, 2022
- Last updated
- Sep 15, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Practice location
9570 Sw 107th Ave Ste 201Miami, FL 33176-2791
Phone 305-219-3240
Mailing address
9570 Sw 107th Ave Ste 201Miami, FL 33176-2791
Phone 305-219-3240
Authorized official
Yanet Bonet Gongora
President
3052193240
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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