Suncoast Neuropsychiatric Wellness Center Llc | |
25097 E Olympia Ave #200 Punta Gorda FL 33950 | |
(941) 655-8085 | |
(941) 347-8218 |
Full Name | Suncoast Neuropsychiatric Wellness Center Llc |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 25097 E Olympia Ave, Punta Gorda, Florida |
Authorized Official Name and Position | Laura F Tait (MD) |
Authorized Official Contact | 9416558085 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Suncoast Neuropsychiatric Wellness Center Llc 25097 E Olympia Ave #200 Punta Gorda FL 33950-3914 Ph: (941) 655-8085 | Suncoast Neuropsychiatric Wellness Center Llc 25097 E Olympia Ave #200 Punta Gorda FL 33950 Ph: (941) 655-8085 |
NPI Number | 1730689290 |
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Provider Enumeration Date | 02/20/2018 |
Last Update Date | 02/20/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730689290 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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