NPI 1407545452 · live from the CMS NPI Registry
Adjuva Psychiatry
Psychiatry & Neurology, Psychiatry in Wilton Manors, FL. National Provider Identifier 1407545452, active.
NPI record
| NPI | 1407545452 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Psychiatry 2084P0800X |
| Practice location | 2449 Ne 13th Ave, Wilton Manors, FL 33305 |
| Practice phone | 954-295-2694 |
| Enumerated | May 4, 2023 |
| Last updated | May 4, 2023 |
| Authorized official | Ashton Thompson, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Psychiatry primary | 2084P0800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.