Wholeistic Psychiatry Group Inc | |
7990 Sw 117th Ave Ste 215 Miami FL 33183-4865 | |
(305) 209-4411 | |
Not Available |
Full Name | Wholeistic Psychiatry Group Inc |
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Speciality | Psychiatry & Neurology |
Location | 7990 Sw 117th Ave Ste 215, Miami, Florida |
Authorized Official Name and Position | Sandra Munsey (OWNER) |
Authorized Official Contact | 7863092418 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wholeistic Psychiatry Group Inc 7990 Sw 117th Ave Ste 215 Miami FL 33183-4865 Ph: (305) 209-4411 | Wholeistic Psychiatry Group Inc 7990 Sw 117th Ave Ste 215 Miami FL 33183-4865 Ph: (305) 209-4411 |
NPI Number | 1649985995 |
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Provider Enumeration Date | 01/20/2023 |
Last Update Date | 05/10/2024 |
Certification Date | 05/10/2024 |
Medicare PECOS PAC ID | 5496128449 |
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Medicare Enrollment ID | O20230222002328 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649985995 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Sandra R Pelaez-mursey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942747126 PECOS PAC ID: 9436245883 Enrollment ID: I20170807001100 |
Provider Name | Reyna Aday |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1396303442 PECOS PAC ID: 8527417203 Enrollment ID: I20231206001950 |
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