Healthcare Provider Details

I. General information

NPI: 1639099765
Provider Name (Legal Business Name): TRUE PRESENCE WHOLE HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5712 FLAGLER ST
HOLLYWOOD FL
33023-2318
US

IV. Provider business mailing address

5712 FLAGLER ST
HOLLYWOOD FL
33023-2318
US

V. Phone/Fax

Practice location:
  • Phone: 561-331-1315
  • Fax: 561-331-1315
Mailing address:
  • Phone: 561-331-1315
  • Fax: 561-331-1315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY ROBINSON
Title or Position: OWNER
Credential: APRN
Phone: 561-331-1315