| Nova Marriage Llc | |
|
16919 Trite Bend St Wimauma FL 33598-4174 | |
| (567) 307-0007 | |
| Not Available |
| Full Name | Nova Marriage Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 16919 Trite Bend St, Wimauma, Florida |
| Authorized Official Name and Position | Daniel Button (OWNER) |
| Authorized Official Contact | 5673070007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Marriage Llc 16919 Trite Bend St Wimauma FL 33598-4174 Ph: (567) 307-0007 | Nova Marriage Llc 16919 Trite Bend St Wimauma FL 33598-4174 Ph: (567) 307-0007 |
| NPI Number | 1245119296 |
|---|---|
| Provider Enumeration Date | 09/02/2025 |
| Last Update Date | 09/02/2025 |
| Certification Date | 09/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245119296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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