Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Promoveo Psychiatry and Wellness PA

Organization Psychiatry Physician · NPI 1053156836

Promoveo Psychiatry and Wellness PA is a Psychiatry Physician in Pompano Beach, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2691 NE 20th St
Pompano Beach, FL 33062-3022
Phone: (561) 299-0202
Fax: (561) 299-0505
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1053156836
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bibiana Susaimanickam — Chief Medical Officer · (561) 299-0202
NPI enumeratedJune 25, 2024
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024
Mailing address2091 Ne 36th St # 5472, Lighthouse Point, FL 33064-7538

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