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2574 Commerce Pkwy North Port FL 34289-9334 | |
(941) 485-0121 | |
(847) 584-2604 |
Full Name | |
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Speciality | Clinic/center |
Location | 2574 Commerce Pkwy, North Port, Florida |
Authorized Official Name and Position | Julie Bush (CREDENTIALING MANAGER) |
Authorized Official Contact | 8475842604 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 631278 Cincinnati OH 45263-1278 Ph: (941) 485-0121 | 2574 Commerce Pkwy North Port FL 34289-9334 Ph: (941) 485-0121 |
NPI Number | 1013234608 |
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Provider Enumeration Date | 04/23/2010 |
Last Update Date | 09/14/2022 |
Certification Date | 09/14/2022 |
Identifier | Type | State | Issuer |
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1013234608 | NPI | - | NPPES |
Centerplace Health, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6919 Outreach Way, North Port, FL 34287 Phone: 941-529-0200 | |
Pediatric Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4160 Oceanside St, North Port, FL 34286 Phone: 863-529-2183 | |