Gulf Coast Therapy Connection, Pllc. | |
1789 Bayshore Blvd Dunedin FL 34698-3343 | |
(813) 298-4192 | |
Not Available |
Full Name | Gulf Coast Therapy Connection, Pllc. |
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Speciality | Social Worker - Clinical |
Location | 1789 Bayshore Blvd, Dunedin, Florida |
Authorized Official Name and Position | Margrit H. Goodhand (OWNER) |
Authorized Official Contact | 8132984192 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gulf Coast Therapy Connection, Pllc. 1789 Bayshore Blvd Dunedin FL 34698-3343 Ph: (813) 298-4192 | Gulf Coast Therapy Connection, Pllc. 1789 Bayshore Blvd Dunedin FL 34698-3343 Ph: (813) 298-4192 |
NPI Number | 1780017244 |
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Provider Enumeration Date | 08/19/2013 |
Last Update Date | 08/19/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780017244 | NPI | - | NPPES |
19964000 | Medicaid | FL | |
FV668Z | Other | FL | MEDICARE ID # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | SW9212 (Florida) | Primary |
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