Individual & Family Services Inc | |
2401 W Bay Dr Bldg 100 Suite 117 Largo FL 33770-4900 | |
(727) 584-4437 | |
(727) 559-9824 |
Full Name | Individual & Family Services Inc |
---|---|
Speciality | Marriage & Family Therapist |
Location | 2401 W Bay Dr, Largo, Florida |
Authorized Official Name and Position | Kenneth Rosen (OWNER) |
Authorized Official Contact | 7275844437 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Individual & Family Services Inc 2401 W Bay Dr Bldg 100 Suite 117 Largo FL 33770-4900 Ph: (727) 584-4437 | Individual & Family Services Inc 2401 W Bay Dr Bldg 100 Suite 117 Largo FL 33770-4900 Ph: (727) 584-4437 |
NPI Number | 1104034735 |
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Provider Enumeration Date | 05/18/2007 |
Last Update Date | 04/20/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104034735 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | MT1250 (Florida) | Primary |
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