Charles Devine, M.D., P.A.
Psychiatry & Neurology, Psychiatry in Brandon, FL. Organization (NPI-2).
NPI number1982905717
StatusActive
Last updated in NPPESMay 3, 2011
Details
- NPI
- 1982905717
- Entity type
- Organization (NPI-2)
- Legal business name
- Charles Devine, M.D., P.A.
- Organization subpart
- No
- Enumeration date
- Nov 10, 2010
- Last updated
- May 3, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | ME0072537 | FL | Yes |
Practice location
336 E Bloomingdale AveBrandon, FL 33511-8155
Phone 813-689-2466 · Fax 813-689-0435
Mailing address
336 E Bloomingdale AveBrandon, FL 33511-8155
Phone 813-689-2466 · Fax 813-689-0435
Authorized official
Charles Devine
President
8136892466
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