El-Shaddai Elohim Medical Center
El-Shaddai Elohim Medical Center is a Psychiatric/Mental Health Nurse Practitioner in Hollywood, Florida. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
10000 Stirling Rd Ste 12Hollywood, FL 33024-8067
Phone: (954) 815-7268
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X |
|---|
Record details
| NPI number | 1730808940 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sherly Boulay — President · (954) 815-7268 |
| NPI enumerated | August 23, 2022 |
| Last updated in NPPES | September 6, 2024 |
| Certification date | September 6, 2024 |
| Mailing address | 15635 Sw 52nd Ct, Miramar, FL 33027-4982 |
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