| Sea Breeze Psychiatry Llc | |
|
26 Origins Main St Ste 219 Inlet Beach FL 32461-8647 | |
| (850) 407-2095 | |
| Not Available |
| Full Name | Sea Breeze Psychiatry Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 26 Origins Main St Ste 219, Inlet Beach, Florida |
| Authorized Official Name and Position | Lawrence John De Lay (OWER/PSYCHIATRIST) |
| Authorized Official Contact | 8509129875 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sea Breeze Psychiatry Llc 26 Origins Main St Ste 219 Inlet Beach FL 32461-8647 Ph: () - | Sea Breeze Psychiatry Llc 26 Origins Main St Ste 219 Inlet Beach FL 32461-8647 Ph: (850) 407-2095 |
| NPI Number | 1548019789 |
|---|---|
| Provider Enumeration Date | 05/17/2024 |
| Last Update Date | 09/05/2024 |
| Certification Date | 09/05/2024 |
| Medicare PECOS PAC ID | 3870032683 |
|---|---|
| Medicare Enrollment ID | O20240826000012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548019789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Lawrence John De Lay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467606616 PECOS PAC ID: 5698924181 Enrollment ID: I20221104000098 |
Hakuna Matata Psychiatry Services Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 13123 E Emerald Coast Pkwy # 193, Inlet Beach, FL 32461 Phone: 850-460-5543 |