PRACTITIONERS ALLIANCE BEHAVIORAL NPI 1346869765

NPI Information

  • NPI: 1346869765
  • Provider Name: PRACTITIONERS ALLIANCE BEHAVIORAL
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 7504 CYPRESS GARDENS BLVD STE 7504
    WINTER HAVEN, FL
    ZIP 33884
  • Phone: (863) 875-6063

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NPI Details

PRACTITIONERS ALLIANCE BEHAVIORAL is a psychiatric/mental health nurse practitioner in Winter Haven, FL. PRACTITIONERS ALLIANCE BEHAVIORAL NPI is 1346869765. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7504 CYPRESS GARDENS BLVD STE 7504
WINTER HAVEN, FL
ZIP 33884-200
Phone: (863) 875-6063
Fax: (863) 875-6086

The provider's authorized official is Paul Estrada .
The authorized official title is Pmhnp-bc and has the following contact phone number (863) 875-6063.

The enumeration date for this NPI number is 4/15/2020 and was last updated on 1/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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