| Gulf Breeze Therapeutics Llc | |
|
997 N Collier Blvd Suite G Marco Island FL 34145-2773 | |
| (239) 404-2141 | |
| Not Available |
| Full Name | Gulf Breeze Therapeutics Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 997 N Collier Blvd, Marco Island, Florida |
| Authorized Official Name and Position | Glenn Gary Rhine (MANAGER/THERAPIST) |
| Authorized Official Contact | 2394042141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Breeze Therapeutics Llc 997 N Collier Blvd Suite G Marco Island FL 34145-2773 Ph: (239) 404-2141 | Gulf Breeze Therapeutics Llc 997 N Collier Blvd Suite G Marco Island FL 34145-2773 Ph: (239) 404-2141 |
| NPI Number | 1730584160 |
|---|---|
| Provider Enumeration Date | 10/28/2014 |
| Last Update Date | 10/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730584160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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