Healthcare Provider Details

I. General information

NPI: 1275432452
Provider Name (Legal Business Name): EMUNAH CONCIERGE MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2026
Last Update Date: 11/03/2026
Certification Date: 11/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2035 N MIAMI AVE
MIAMI FL
33127-4958
US

IV. Provider business mailing address

7553 W OKLND PK BLVD
TAMARAC FL
33319-4909
US

V. Phone/Fax

Practice location:
  • Phone: 786-672-3320
  • Fax:
Mailing address:
  • Phone: 786-672-3320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. WIL EDVARD GERMAIN
Title or Position: MD
Credential:
Phone: 786-672-3320