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2025 Indian Rocks Rd S Largo FL 33774-1035 | |
| (727) 581-9474 | |
| (727) 587-7623 |
| Full Name | |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2025 Indian Rocks Rd S, Largo, Florida |
| Authorized Official Name and Position | Glenn Romig (CFO) |
| Authorized Official Contact | 7275885251 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
11315 Corporate Blvd Suite 310 Orlando FL 32817-8344 Ph: (727) 588-5800 | 2025 Indian Rocks Rd S Largo FL 33774-1035 Ph: (727) 581-9474 |
| NPI Number | 1578895033 |
|---|---|
| Provider Enumeration Date | 02/09/2010 |
| Last Update Date | 03/30/2022 |
| Certification Date | 03/30/2022 |
| Medicare PECOS PAC ID | 8729189501 |
|---|---|
| Medicare Enrollment ID | O20100301000388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578895033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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