| Hopebridge Llc | |
|
220 Grand Regency Blvd Brandon FL 33510-3935 | |
| (813) 709-7989 | |
| (317) 520-8200 |
| Full Name | Hopebridge Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 220 Grand Regency Blvd, Brandon, Florida |
| Authorized Official Name and Position | Angie Graff (CONTRACTING & CREDENTIALING MANAGER) |
| Authorized Official Contact | 3173768336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hopebridge Llc 3500 Depauw Blvd Ste 3070 Indianapolis IN 46268-6135 Ph: (855) 324-0885 | Hopebridge Llc 220 Grand Regency Blvd Brandon FL 33510-3935 Ph: (813) 709-7989 |
| NPI Number | 1821750167 |
|---|---|
| Provider Enumeration Date | 10/13/2021 |
| Last Update Date | 10/13/2021 |
| Certification Date | 09/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821750167 | NPI | - | NPPES |
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