Organization · NPI-2

Advanced Behavioral Clinicians, LLC

Nurse Practitioner, Family · Sarasota, FL

NPI number1639793326
StatusActive
Last updated in NPPESAug 26, 2022

Details

NPI
1639793326
Entity type
Organization (NPI-2)
Legal business name
Advanced Behavioral Clinicians, LLC
Organization subpart
No
Enumeration date
May 29, 2020
Certification date
Aug 26, 2022
Last updated
Aug 26, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family––Yes
363L00000X Nurse Practitioner––

Other names

  • Advancd Behavioral Clinicians (Doing Business As)

Practice location

2650 Bahia Vista St Ste 209
Sarasota, FL 34239-2625

Phone 941-870-3600 · Fax 727-998-8401

Mailing address

20 Meadowbrook Ln
Palmer, MA 01069-1134

Phone 941-870-3600 · Fax 727-998-8401

Other practice locations

2740 Coconut Bay Ln Unit 3g
Sarasota, FL 34237-3055

Phone 941-870-3600 · Fax 727-998-8401

1991 Hyde Park St
Sarasota, FL 34239-3612

Phone 727-239-9938 · Fax 727-998-8041

Authorized official

Adair Lynne Deicke
Owner/Ceo
7272399938

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