Patricia Harrison Md P L | |
1025 N. Beal Pkwy Suite B-1 Fort Walton Beach FL 32547-1481 | |
(850) 862-4960 | |
(850) 862-4529 |
Full Name | Patricia Harrison Md P L |
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Speciality | Clinic/center - Adult Mental Health |
Location | 1025 N. Beal Pkwy, Fort Walton Beach, Florida |
Authorized Official Name and Position | Patricia Harrison (PRESIDENT/OWNER) |
Authorized Official Contact | 8508624960 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Patricia Harrison Md P L 1025 N. Beal Pkwy Suite B-1 Fort Walton Beach FL 32547-1481 Ph: (850) 862-4960 | Patricia Harrison Md P L 1025 N. Beal Pkwy Suite B-1 Fort Walton Beach FL 32547-1481 Ph: (850) 862-4960 |
NPI Number | 1184874224 |
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Provider Enumeration Date | 09/25/2008 |
Last Update Date | 10/14/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184874224 | NPI | - | NPPES |
253694300 | Medicaid | FL | |
43326 | Other | FL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | ME71795 (Florida) | Primary |
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Sheri A Levitus Lcsw Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 68 Beal Pkwy Sw, Fort Walton Beach, FL 32548 Phone: 850-243-7035 Fax: 850-243-8529 | |
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