Psychiatric Center Of Florida | |
12641 World Plaza Ln Suite 56 Fort Myers FL 33907-3990 | |
(239) 939-2205 | |
(239) 939-4662 |
Full Name | Psychiatric Center Of Florida |
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Speciality | Psychologist - Family |
Location | 12641 World Plaza Ln, Fort Myers, Florida |
Authorized Official Name and Position | Brenda L Keefer (PRESIDENT) |
Authorized Official Contact | 2399392205 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Psychiatric Center Of Florida 12641 World Plaza Ln Suite 56 Fort Myers FL 33907-3990 Ph: (239) 939-2205 | Psychiatric Center Of Florida 12641 World Plaza Ln Suite 56 Fort Myers FL 33907-3990 Ph: (239) 939-2205 |
NPI Number | 1609030899 |
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Provider Enumeration Date | 07/16/2008 |
Last Update Date | 07/16/2008 |
Identifier | Type | State | Issuer |
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1609030899 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TF0000X | Psychologist - Family | ME058989 (Florida) | Primary |
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