| Countryside - Primary Care | |
|
2461 Enterprise Rd Suite C Clearwater FL 33763-1726 | |
| (727) 726-3785 | |
| Not Available |
| Full Name | Countryside - Primary Care |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2461 Enterprise Rd, Clearwater, Florida |
| Authorized Official Name and Position | Lynda Gorken (VICE PRESIDENT) |
| Authorized Official Contact | 7272819390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Countryside - Primary Care 2995 Drew St Fl 2 Clearwater FL 33759-3012 Ph: (727) 281-9390 | Countryside - Primary Care 2461 Enterprise Rd Suite C Clearwater FL 33763-1726 Ph: (727) 726-3785 |
| NPI Number | 1306184239 |
|---|---|
| Provider Enumeration Date | 01/28/2013 |
| Last Update Date | 02/12/2020 |
| Certification Date | 02/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306184239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Florida) | Primary |
Loredana Repetto Lcsw & Assoc Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2329 Sunset Point Road, Suite 203, Clearwater, FL 33765 Phone: 727-669-3911 Fax: 727-669-3813 | |
Empower, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2120 Range Rd, Clearwater, FL 33765 Phone: 727-410-8911 Fax: 727-223-8917 | |
Baycare Medical Group, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2995 Drew St Fl 2, Clearwater, FL 33759 Phone: 727-281-9065 | |
Bay Area Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13575 58th St N, Suite 131, Clearwater, FL 33760 Phone: 813-689-8828 Fax: 813-689-8802 | |
Camelot Community Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4910 Creekside Dr, Suite D, Clearwater, FL 33760 Phone: 727-593-0003 Fax: 727-596-1713 | |
Renee Michaels Lcsw Cap Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2329 Sunset Point Rd, Suite 203, Clearwater, FL 33765 Phone: 727-669-3811 Fax: 727-669-3813 | |
Debbie A. Noe, Lmhc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2451 N Mcmullen Booth Rd, Clearwater, FL 33759 Phone: 727-542-8662 |