Continental Psychiatric Services, Pllc | |
2672 1st Ave S Saint Petersburg FL 33712-1108 | |
(727) 800-9705 | |
(727) 800-9806 |
Full Name | Continental Psychiatric Services, Pllc |
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Speciality | Psychiatry & Neurology |
Location | 2672 1st Ave S, Saint Petersburg, Florida |
Authorized Official Name and Position | Martha Alzamora (MEDICAL DIRECTOR/ OWNER) |
Authorized Official Contact | 7278009705 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Continental Psychiatric Services, Pllc 2672 1st Ave S Saint Petersburg FL 33712-1108 Ph: (727) 800-9705 | Continental Psychiatric Services, Pllc 2672 1st Ave S Saint Petersburg FL 33712-1108 Ph: (727) 800-9705 |
NPI Number | 1083213110 |
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Provider Enumeration Date | 10/20/2020 |
Last Update Date | 05/21/2021 |
Certification Date | 03/29/2021 |
Medicare PECOS PAC ID | 6800206277 |
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Medicare Enrollment ID | O20201113002335 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083213110 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Martha D Alzamora |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1942390141 PECOS PAC ID: 6002099306 Enrollment ID: I20190611003497 |
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