Seabreeze Behavioral Medicine Pa | |
3191 Harbor Blvd Suite A Port Charlotte FL 33952-6755 | |
(941) 766-9555 | |
(941) 766-1511 |
Full Name | Seabreeze Behavioral Medicine Pa |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 3191 Harbor Blvd, Port Charlotte, Florida |
Authorized Official Name and Position | Bernardo J Arias (OWNER/PRESIDENT) |
Authorized Official Contact | 9417669555 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Seabreeze Behavioral Medicine Pa 3191 Harbor Blvd Ste A Port Charlotte FL 33952-6755 Ph: (941) 766-9555 | Seabreeze Behavioral Medicine Pa 3191 Harbor Blvd Suite A Port Charlotte FL 33952-6755 Ph: (941) 766-9555 |
NPI Number | 1104811272 |
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Provider Enumeration Date | 09/15/2005 |
Last Update Date | 03/08/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104811272 | NPI | - | NPPES |
260963100 | Medicaid | FL | |
38239 | Other | B/C |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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