| Florida Behavioral Medicine | |
|
1100 Clearwater Largo Rd N Largo FL 33770-4131 | |
| (727) 518-6444 | |
| (727) 581-2678 |
| Full Name | Florida Behavioral Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 1100 Clearwater Largo Rd N, Largo, Florida |
| Authorized Official Name and Position | Ashok M Patel (SECRETARY TREASURER) |
| Authorized Official Contact | 7275186444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Behavioral Medicine 1100 Clearwater Largo Rd N Largo FL 33770-4131 Ph: (727) 518-6444 | Florida Behavioral Medicine 1100 Clearwater Largo Rd N Largo FL 33770-4131 Ph: (727) 518-6444 |
| NPI Number | 1770594665 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 09/23/2024 |
| Certification Date | 09/20/2024 |
| Medicare PECOS PAC ID | 6305740093 |
|---|---|
| Medicare Enrollment ID | O20031124000623 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770594665 | NPI | - | NPPES |
| K3338 | Other | FL | MEDICARE PTAN |
| Provider Name | Robert Mayer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699748251 PECOS PAC ID: 1951205525 Enrollment ID: I20031125000300 |
| Provider Name | Svetlana S Sokol |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639361587 PECOS PAC ID: 4284795733 Enrollment ID: I20081203000254 |
| Provider Name | Lillian M Pineiro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578889085 PECOS PAC ID: 3173653474 Enrollment ID: I20100614000206 |
| Provider Name | Karen A Knop |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689974867 PECOS PAC ID: 1759338619 Enrollment ID: I20101208000879 |
| Provider Name | Ashok M Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124091798 PECOS PAC ID: 6608770235 Enrollment ID: I20120202000519 |
| Provider Name | Nihal Shah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407829088 PECOS PAC ID: 5597923078 Enrollment ID: I20120301000335 |
| Provider Name | Kelly C Dann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649555400 PECOS PAC ID: 1951564178 Enrollment ID: I20120524000599 |
| Provider Name | Harshadkumar C Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952568008 PECOS PAC ID: 4183880834 Enrollment ID: I20120724000602 |
| Provider Name | Rachel E Agustines |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386617306 PECOS PAC ID: 2264698935 Enrollment ID: I20120724000841 |
| Provider Name | Phyllis A Dougherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275711780 PECOS PAC ID: 3274775879 Enrollment ID: I20130812000159 |
| Provider Name | Jaclyn Newman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821239880 PECOS PAC ID: 3577784396 Enrollment ID: I20141021000436 |
| Provider Name | Poetchanaporn B Tongdee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093148728 PECOS PAC ID: 5890011472 Enrollment ID: I20150225000839 |
| Provider Name | Gurkiran Gill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194967216 PECOS PAC ID: 9931425915 Enrollment ID: I20150310001990 |
| Provider Name | Shivani K Saible |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124416995 PECOS PAC ID: 4082931993 Enrollment ID: I20150401002423 |
| Provider Name | Richard A Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699903641 PECOS PAC ID: 6709186281 Enrollment ID: I20151207000805 |
| Provider Name | Gerald L Randall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184032740 PECOS PAC ID: 2860753829 Enrollment ID: I20180308000630 |
| Provider Name | Andrea Cacciurri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710544952 PECOS PAC ID: 1759714678 Enrollment ID: I20191209000069 |
| Provider Name | Zachary Zimko |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437508561 PECOS PAC ID: 6507294782 Enrollment ID: I20200323000883 |
| Provider Name | Scott Lewis Greaser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124781836 PECOS PAC ID: 6406249960 Enrollment ID: I20220204000033 |
| Provider Name | Anne Ludie Gilot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245844695 PECOS PAC ID: 9436535960 Enrollment ID: I20221006000142 |
| Provider Name | Cassandra Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003696790 PECOS PAC ID: 6901256759 Enrollment ID: I20231220002135 |
| Provider Name | Neal Ashok Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861020091 PECOS PAC ID: 7113378928 Enrollment ID: I20240105001892 |
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