Pinellas Psychiatric Services, Llc | |
25 Franklin Ct S Unit A St Petersburg FL 33711-5136 | |
(727) 385-4455 | |
Not Available |
Full Name | Pinellas Psychiatric Services, Llc |
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Speciality | Psychologist - Prescribing (medical) |
Location | 25 Franklin Ct S, St Petersburg, Florida |
Authorized Official Name and Position | Berny Excellent (OWNER) |
Authorized Official Contact | 7273854455 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pinellas Psychiatric Services, Llc 25 Franklin Ct S Unit A St Petersburg FL 33711-5136 Ph: (727) 385-4455 | Pinellas Psychiatric Services, Llc 25 Franklin Ct S Unit A St Petersburg FL 33711-5136 Ph: (727) 385-4455 |
NPI Number | 1295075372 |
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Provider Enumeration Date | 02/26/2013 |
Last Update Date | 02/26/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295075372 | NPI | - | NPPES |
ME 58124 | Other | FL | FLORIDA MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TP0016X | Psychologist - Prescribing (medical) | ME 58124 (Florida) | Primary |
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