| One Stop Psychiatry Llc | |
|
8910 Miramar Pkwy Ste 309g Miramar FL 33025-4188 | |
| (754) 270-6322 | |
| (754) 270-6321 |
| Full Name | One Stop Psychiatry Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 8910 Miramar Pkwy Ste 309g, Miramar, Florida |
| Authorized Official Name and Position | Jerjuan Toles (PRACTICE DEVELOPMENT CONSULTANT) |
| Authorized Official Contact | 2395959040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| One Stop Psychiatry Llc 8910 Miramar Pkwy Ste 309g Miramar FL 33025-4188 Ph: (754) 270-6322 | One Stop Psychiatry Llc 8910 Miramar Pkwy Ste 309g Miramar FL 33025-4188 Ph: (754) 270-6322 |
| NPI Number | 1952056780 |
|---|---|
| Provider Enumeration Date | 02/21/2022 |
| Last Update Date | 03/26/2022 |
| Certification Date | 03/26/2022 |
| Medicare PECOS PAC ID | 8426435470 |
|---|---|
| Medicare Enrollment ID | O20220513001110 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952056780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Heather M Brathwaite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083628028 PECOS PAC ID: 0648178012 Enrollment ID: I20031222000915 |
| Provider Name | Muhammad Kashif Nawaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750850863 PECOS PAC ID: 6507103272 Enrollment ID: I20190204001548 |
| Provider Name | Yuritza Medina Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811544331 PECOS PAC ID: 9830506245 Enrollment ID: I20210401000312 |
| Provider Name | Devon H Yanez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124586631 PECOS PAC ID: 1557749603 Enrollment ID: I20220602001273 |
| Provider Name | Amit Sharma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295149102 PECOS PAC ID: 8527339688 Enrollment ID: I20230911000962 |
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