| Stryker Behavioral Health, Inc | |
|
4560 Vinsetta Ave North Fort Myers FL 33903-4654 | |
| (678) 371-7189 | |
| (239) 747-7177 |
| Full Name | Stryker Behavioral Health, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 4560 Vinsetta Ave, North Fort Myers, Florida |
| Authorized Official Name and Position | Robert Alan Stryker (OWNER/THERAPIST) |
| Authorized Official Contact | 6783717189 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stryker Behavioral Health, Inc 2451 Cumberland Pkwy Se Ste 3427 Atlanta GA 30339-6136 Ph: (678) 371-7189 | Stryker Behavioral Health, Inc 4560 Vinsetta Ave North Fort Myers FL 33903-4654 Ph: (678) 371-7189 |
| NPI Number | 1376955138 |
|---|---|
| Provider Enumeration Date | 05/28/2014 |
| Last Update Date | 06/25/2024 |
| Certification Date | 06/25/2024 |
| Medicare PECOS PAC ID | 7416176417 |
|---|---|
| Medicare Enrollment ID | O20140923001771 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376955138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Robert Stryker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427324110 PECOS PAC ID: 0547424392 Enrollment ID: I20120607000558 |
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