Southern Florida Psychiatric Services LLC
Psychologist, Addiction (Substance Use Disorder) in Palm City, FL. Organization (NPI-2).
NPI number1366042392
StatusActive
Last updated in NPPESOct 28, 2020
Details
- NPI
- 1366042392
- Entity type
- Organization (NPI-2)
- Legal business name
- Southern Florida Psychiatric Services LLC
- Organization subpart
- No
- Enumeration date
- Oct 28, 2020
- Certification date
- Oct 28, 2020
- Last updated
- Oct 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TA0400X | Psychologist, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
2340 Sw Poma DrPalm City, FL 34990-6611
Phone 772-249-2569
Mailing address
2340 Sw Poma DrPalm City, FL 34990-6611
Authorized official
Joseph Monastra
Coo
5618125445
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