Child And Adolescent Tampa Bay Psychiatry, LLC
Psychiatry & Neurology, Child & Adolescent Psychiatry in Tampa, FL. Organization (NPI-2).
NPI number1952829137
StatusActive
Last updated in NPPESSep 7, 2017
Details
- NPI
- 1952829137
- Entity type
- Organization (NPI-2)
- Legal business name
- Child And Adolescent Tampa Bay Psychiatry, LLC
- Organization subpart
- No
- Enumeration date
- Sep 7, 2017
- Last updated
- Sep 7, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | ME112720 | FL | Yes |
Practice location
100 S Ashley Dr Ste 600Tampa, FL 33602-5300
Phone 813-766-4218
Mailing address
12231 Main St Unit 1196San Antonio, FL 33576-7253
Phone 813-440-2741 · Fax 813-338-4490
Authorized official
Onelia Ramirez-Cook
Manager
8137664218
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