MEDICARE: HEART TO HEART PSYCHIATRY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WP0808X	Psychiatric/Mental Health Registered Nurse

General Provider Information

NPI Number	:	1497617161
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEART TO HEART PSYCHIATRY LLC

Provider Business Mailing Address
First Line	:	1622 NW 18TH TER
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33993-4903
Country	:	US
Telephone Number	:	786-399-7065
Fax Number	:

Provider Business Practice Location Address
First Line	:	1622 NW 18TH TER
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33993-4903
Country	:	US
Telephone Number	:	786-399-7065
Fax Number	:

Authorized Official
Title or Position	:	PMHNP
Name	:	MARIA F MALPICA
Credential	:
Telephone Number	:	786-399-7065

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

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