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6330 Us Highway 19 New Port Richey FL 34652-2232 | |
| (727) 816-1640 | |
| (727) 816-1648 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6330 Us Highway 19, New Port Richey, Florida |
| Authorized Official Name and Position | Nancy Hamilton (CEO) |
| Authorized Official Contact | 7275457564 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6330 Us Highway 19 New Port Richey FL 34652-2232 Ph: (727) 816-1640 | 6330 Us Highway 19 New Port Richey FL 34652-2232 Ph: (727) 816-1640 |
| NPI Number | 1306905633 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 07/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306905633 | NPI | - | NPPES |
| 060705309 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Florida) | Primary |
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