A Renewed Path Medical Services LLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Haverhill, FL
NPI 1962350256 · NPPES record last updated Mar 20, 2026
Key facts
- NPI
- 1962350256
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- A RENEWED PATH MEDICAL SERVICES LLC
- Practice address
- 4500 Belvedere Rd Ste D
Haverhill, FL 33415-1357 - Phone
- (561) 493-3323
- NPI assigned
- Mar 20, 2026
- Organization subpart
- No
Authorized official
- Name
- Sandy Voltaire, PMHNP
- Title
- Owner
- Phone
- (561) 318-2714
Practitioners 1
-
Sandy Voltaire, FNP-BC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260513002289 | FL | Part B Supplier - Clinic/Group Practice | 6901375542 |
Receives reassigned benefits from 1 practitioner Practice locations: Haverhill, FL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
4500 Belvedere Rd Ste D
Haverhill, FL 33415-1357
Mailing address
4500 Belvedere Rd Ste D
Haverhill, FL 33415-1357
Phone (561) 493-3323
Other names
- A RENEWED PATH MEDICAL SERVICES
Other providers in Haverhill, FL
- Dominique Bonnegue Egalite
- Hyacinth Cecile Campbell
- Caring Beyond Imagination
- Miguel S Castillo de Fuentes
- Natacha Charles
All providers in Haverhill, FL · Psychiatric/Mental Health Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.