Pemhs | |
400 15th St N St Petersburg FL 33705-2018 | |
(727) 545-6477 | |
(727) 545-6464 |
Full Name | Pemhs |
---|---|
Speciality | Community/behavioral Health |
Location | 400 15th St N, St Petersburg, Florida |
Authorized Official Name and Position | Gerald Wennlund (CHEIF OPERATING OFFICER) |
Authorized Official Contact | 7275456477 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pemhs 400 15th St N St Petersburg FL 33705-2018 Ph: (727) 552-1053 | Pemhs 400 15th St N St Petersburg FL 33705-2018 Ph: (727) 545-6477 |
NPI Number | 1396077566 |
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Provider Enumeration Date | 02/12/2010 |
Last Update Date | 11/12/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396077566 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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