Tampa Bay Psychiatric Services Pl
Psychiatry & Neurology, Psychiatry in Sarasota, FL. Organization (NPI-2).
NPI number1891150488
StatusActive
Last updated in NPPESMar 25, 2019
Details
- NPI
- 1891150488
- Entity type
- Organization (NPI-2)
- Legal business name
- Tampa Bay Psychiatric Services Pl
- Organization subpart
- No
- Enumeration date
- Dec 23, 2015
- Last updated
- Mar 25, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | ME104526 | FL | Yes |
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | ME104526 | FL |
Practice location
5664 Marquesas CirSarasota, FL 34233-3331
Phone 941-527-0159 · Fax 813-464-7682
Mailing address
1767 Lakewood Ranch BlvdNo. 255
Bradenton, FL 34211-4906
Phone 941-527-0159 · Fax 813-464-7682
Other practice locations
2328 Manatee Ave W
Bradenton, FL 34205-4957
Bradenton, FL 34205-4957
Phone 941-527-0159 · Fax 813-464-7682
Authorized official
Joanna Wanda Gluszak
Practice Manager
8136994020
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