Livingwell Comprehensive Medical & Psychiatric Care
Nurse Practitioner, Psych/Mental Health in Coconut Creek, FL. Organization (NPI-2).
NPI number1841920105
StatusActive
Last updated in NPPESNov 16, 2023
Details
- NPI
- 1841920105
- Entity type
- Organization (NPI-2)
- Legal business name
- Livingwell Comprehensive Medical & Psychiatric Care
- Organization subpart
- No
- Enumeration date
- Jun 10, 2022
- Certification date
- Nov 16, 2023
- Last updated
- Nov 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Practice location
4651 N State Road 7 Ste 9Coconut Creek, FL 33073-4378
Phone 954-807-3160 · Fax 561-370-7906
Mailing address
Po Box 970788Boca Raton, FL 33497-0788
Phone 954-807-3160
Authorized official
Jean-Lesly Rigaud
Ceo
9548073160
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