E Studio | |
11 9th St S St Petersburg FL 33705-1616 | |
(727) 342-0054 | |
Not Available |
Full Name | E Studio |
---|---|
Speciality | Community/behavioral Health |
Location | 11 9th St S, St Petersburg, Florida |
Authorized Official Name and Position | Dayna D Wood (OWNER/PRACTICIONER) |
Authorized Official Contact | 7273420054 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
E Studio 2217 Brevard Rd Ne St. Petersburg St Petersburg FL 33704-3541 Ph: (727) 342-0054 | E Studio 11 9th St S St Petersburg FL 33705-1616 Ph: (727) 342-0054 |
NPI Number | 1639449531 |
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Provider Enumeration Date | 01/09/2012 |
Last Update Date | 04/01/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639449531 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | MH 11004 (Florida) | Primary |
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