| Family Psychiatry, Inc. | |
|
12641 World Plaza Ln Suite 56 Fort Myers FL 33907-3990 | |
| (239) 220-3543 | |
| Not Available |
| Full Name | Family Psychiatry, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 12641 World Plaza Ln, Fort Myers, Florida |
| Authorized Official Name and Position | Marianne G Krouk (DIRECTOR OF CORPORATION) |
| Authorized Official Contact | 2392203543 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Psychiatry, Inc. 5031 Harbortown Ln Fort Myers FL 33919-4650 Ph: (239) 220-3543 | Family Psychiatry, Inc. 12641 World Plaza Ln Suite 56 Fort Myers FL 33907-3990 Ph: (239) 220-3543 |
| NPI Number | 1134419872 |
|---|---|
| Provider Enumeration Date | 04/14/2011 |
| Last Update Date | 04/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134419872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | OS10199 (Florida) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | OS10199 (Florida) | Primary |
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