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1902673031
PHOENIX BEHAVIORAL GROUP LLC
NAPLES, FL
NPI
1902673031
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Entity Type
Organization
Authorized Contact
JOHANNY ORTIZ
Mbr
239-276-9464
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2023-12-08
Last Update Date
2023-12-21
Business Address
PHOENIX BEHAVIORAL GROUP LLC
4949 TAMIAMI TRL N STE 202
NAPLES, FL 34103-3017
Phone number: 239-259-1659
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Mailing Address
PHOENIX BEHAVIORAL GROUP LLC
4949 TAMIAMI TRL N STE 202
NAPLES, FL 34103-3017
Phone number: 239-259-1659
Copy
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