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5637 Marine Pkwy New Port Richey FL 34652-4316 | |
| (727) 809-1879 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 5637 Marine Pkwy, New Port Richey, Florida |
| Authorized Official Name and Position | Michael J. Wyers (CFO) |
| Authorized Official Contact | 7278344900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5637 Marine Pkwy New Port Richey FL 34652-4316 Ph: (727) 809-1879 | 5637 Marine Pkwy New Port Richey FL 34652-4316 Ph: (727) 809-1879 |
| NPI Number | 1760429880 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 03/30/2022 |
| Certification Date | 03/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760429880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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