| Florida Center For Tms | |
|
811 State Road 206 E Ste 1 Saint Augustine FL 32086-4869 | |
| (352) 339-3064 | |
| Not Available |
| Full Name | Florida Center For Tms |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 811 State Road 206 E Ste 1, Saint Augustine, Florida |
| Authorized Official Name and Position | Heather Luing (MGR) |
| Authorized Official Contact | 3523393064 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Center For Tms 17 Zamora St Saint Augustine FL 32084-2983 Ph: () - | Florida Center For Tms 811 State Road 206 E Ste 1 Saint Augustine FL 32086-4869 Ph: (352) 339-3064 |
| NPI Number | 1497278584 |
|---|---|
| Provider Enumeration Date | 07/20/2017 |
| Last Update Date | 07/20/2017 |
| Medicare PECOS PAC ID | 1951640689 |
|---|---|
| Medicare Enrollment ID | O20190225001909 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497278584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME95498 (Florida) | Primary |
| Provider Name | Heather S Luing |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952477366 PECOS PAC ID: 8820151608 Enrollment ID: I20090106000639 |
| Provider Name | Todd Jason Broder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699849349 PECOS PAC ID: 3375675978 Enrollment ID: I20100716000820 |
| Provider Name | Hannah E Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881035178 PECOS PAC ID: 0648408344 Enrollment ID: I20131231001489 |
| Provider Name | Patricia Lewis |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1427154624 PECOS PAC ID: 4981504297 Enrollment ID: I20220518000241 |
| Provider Name | Kristin Maclao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699409318 PECOS PAC ID: 9335523554 Enrollment ID: I20220907000568 |
| Provider Name | Ashton Timmons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093398547 PECOS PAC ID: 0941668123 Enrollment ID: I20230620003075 |
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