Suncoast Neuropsychiatric Wellness Center LLC
Psychiatry & Neurology, Psychiatry in Punta Gorda, FL. Organization (NPI-2).
NPI number1730689290
StatusActive
Last updated in NPPESFeb 20, 2018
Details
- NPI
- 1730689290
- Entity type
- Organization (NPI-2)
- Legal business name
- Suncoast Neuropsychiatric Wellness Center LLC
- Organization subpart
- No
- Enumeration date
- Feb 20, 2018
- Last updated
- Feb 20, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
Practice location
25097 E Olympia Ave#200
Punta Gorda, FL 33950
Phone 941-655-8085 · Fax 941-347-8218
Mailing address
25097 E Olympia Ave#200
Punta Gorda, FL 33950-3914
Phone 941-655-8085 · Fax 941-347-8218
Authorized official
Laura F Tait
MD
9416558085
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