| Tms Of Central Florida | |
|
1119 Nikki View Dr Brandon FL 33511-4879 | |
| (813) 657-7022 | |
| (813) 657-1049 |
| Full Name | Tms Of Central Florida |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1119 Nikki View Dr, Brandon, Florida |
| Authorized Official Name and Position | Charles Durwood Devine (MEMBER/PARTNER) |
| Authorized Official Contact | 8139242389 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tms Of Central Florida 1119 Nikki View Dr Brandon FL 33511-4879 Ph: (813) 657-7022 | Tms Of Central Florida 1119 Nikki View Dr Brandon FL 33511-4879 Ph: (813) 657-7022 |
| NPI Number | 1942729736 |
|---|---|
| Provider Enumeration Date | 09/13/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 5496015562 |
|---|---|
| Medicare Enrollment ID | O20180209001538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942729736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME0072537 (Florida) | Primary |
| Provider Name | Charles D Devine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881687663 PECOS PAC ID: 8820273972 Enrollment ID: I20110504000808 |
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