NPI | 1154002855 |
---|---|
Doing Business As | VICTORIOUS HEALTH LLC |
Entity Type | Organization |
Authorized Contact | ISABELO IAN DOMINGO VICTORIO Owner/CEO 904-866-2947 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2023-07-26 |
Last Update Date | 2025-05-05 |