| Anxiety Treatment Of Florida Llc | |
|
162 Lone Eagle Way Ponte Vedra FL 32081-8386 | |
| (904) 930-7670 | |
| Not Available |
| Full Name | Anxiety Treatment Of Florida Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 162 Lone Eagle Way, Ponte Vedra, Florida |
| Authorized Official Name and Position | Michael Bloomquist (MEMBER) |
| Authorized Official Contact | 9049307670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anxiety Treatment Of Florida Llc Po Box 2527 Ponte Vedra Beach FL 32004-2527 Ph: (904) 930-7670 | Anxiety Treatment Of Florida Llc 162 Lone Eagle Way Ponte Vedra FL 32081-8386 Ph: (904) 930-7670 |
| NPI Number | 1265019376 |
|---|---|
| Provider Enumeration Date | 03/25/2021 |
| Last Update Date | 03/25/2021 |
| Certification Date | 03/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265019376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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