| David S Cubito Psyd Plc | |
|
275 4th St N St Petersburg FL 33701-3205 | |
| (727) 527-1969 | |
| Not Available |
| Full Name | David S Cubito Psyd Plc |
|---|---|
| Speciality | Psychologist |
| Location | 275 4th St N, St Petersburg, Florida |
| Authorized Official Name and Position | David S Cubito (PRESIDENT) |
| Authorized Official Contact | 7275271969 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David S Cubito Psyd Plc 1114 36th Ave Ne St Petersburg FL 33704-1616 Ph: (727) 527-1969 | David S Cubito Psyd Plc 275 4th St N St Petersburg FL 33701-3205 Ph: (727) 527-1969 |
| NPI Number | 1437316239 |
|---|---|
| Provider Enumeration Date | 05/20/2008 |
| Last Update Date | 02/16/2022 |
| Certification Date | 02/16/2022 |
| Medicare PECOS PAC ID | 8224055231 |
|---|---|
| Medicare Enrollment ID | O20051028000747 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437316239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY5620 (Florida) | Primary |
| Provider Name | David S Cubito |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366533994 PECOS PAC ID: 7618911611 Enrollment ID: I20050610000306 |
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