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1497599443
LAVENDER PSYCHIATRY
MIAMI, FL
NPI
1497599443
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Entity Type
Organization
Authorized Contact
GARLINE BASSETTE
CEO
305-747-9371
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2024-06-24
Last Update Date
2024-07-18
Business Address
LAVENDER PSYCHIATRY
475 NE 113TH ST
MIAMI, FL 33161-6646
Phone number: 305-747-9371
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Mailing Address
LAVENDER PSYCHIATRY
475 NE 113TH STREET NE 113 STREET
MIAMI SHORES, FL 33161-4935
Phone number: 754-816-6389
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