OrganizationActive
Environmental Therapy Solutions LLC
NPI 1194542126 · Psychiatric/Mental Health Clinical Nurse Specialist · Ft Lauderdale, FL
Provider details
- NPI number
- 1194542126
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Fred Moline, Ceo(305) 927-6073
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2630 W Broward Blvd Ste 203
Ft Lauderdale, FL 33312-1315
Phone: (305) 927-6073
Approximate (ZIP-level) locationGet directions
Mailing address
6230 Reese Rd Apt 116
Davie, FL 33314-1269
Registry dates
- Enumerated
- 2024-09-23
- Last updated
- 2024-09-23
- Certified
- 2024-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.