Starfish Psychiatric Services Pl
Psychiatry & Neurology, Psychiatry in Fort Walton Beach, FL. Organization (NPI-2).
NPI number1396834024
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1396834024
- Entity type
- Organization (NPI-2)
- Legal business name
- Starfish Psychiatric Services Pl
- Organization subpart
- No
- Enumeration date
- Oct 12, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | OS 8859 | FL | Yes |
Practice location
68 Beal Pkwy SwFort Walton Beach, FL 32548-5331
Phone 850-243-7035 · Fax 850-243-8529
Mailing address
Po Box 879Fort Walton Beach, FL 32549-0879
Phone 850-243-7035 · Fax 850-243-8529
Authorized official
Charina E Perez
Office Manager
8502437035
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