| Oglethorpe Psychmed Services Of Florida Inc | |
|
2550 Se Walton Rd Port St Lucie FL 34952-7168 | |
| (772) 335-0400 | |
| Not Available |
| Full Name | Oglethorpe Psychmed Services Of Florida Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2550 Se Walton Rd, Port St Lucie, Florida |
| Authorized Official Name and Position | John R. Picciano (PRESIDENT) |
| Authorized Official Contact | 7723350400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oglethorpe Psychmed Services Of Florida Inc 13406 Cortez Blvd Brookville FL 34613-6822 Ph: (352) 597-5075 | Oglethorpe Psychmed Services Of Florida Inc 2550 Se Walton Rd Port St Lucie FL 34952-7168 Ph: (772) 335-0400 |
| NPI Number | 1831385061 |
|---|---|
| Provider Enumeration Date | 09/21/2007 |
| Last Update Date | 12/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831385061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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