| Sunrise Mental Health Inc | |
|
250 Brooks Street Suite C Fort Walton Beach FL 32548 | |
| (850) 244-9333 | |
| (850) 244-9338 |
| Full Name | Sunrise Mental Health Inc |
|---|---|
| Speciality | Psychologist - Prescribing (medical) |
| Location | 250 Brooks Street, Fort Walton Beach, Florida |
| Authorized Official Name and Position | Patricia Johnson (OFFICE MANAGER) |
| Authorized Official Contact | 8502449333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Mental Health Inc 250 Brooks Street Suite C Fort Walton Beach FL 32548 Ph: (850) 244-9333 | Sunrise Mental Health Inc 250 Brooks Street Suite C Fort Walton Beach FL 32548 Ph: (850) 244-9333 |
| NPI Number | 1508046855 |
|---|---|
| Provider Enumeration Date | 11/05/2007 |
| Last Update Date | 11/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508046855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | ME62603 (Florida) | Primary |
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