| Treasure Coast Psychiatric Services, P.a. | |
|
789 S Federal Hwy Suite 213 Stuart FL 34994-2962 | |
| (772) 286-8826 | |
| (772) 283-5531 |
| Full Name | Treasure Coast Psychiatric Services, P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 789 S Federal Hwy Suite 213, Stuart, Florida |
| Authorized Official Name and Position | Stacey Losardo (VICE PRESIDENT) |
| Authorized Official Contact | 7722868826 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Treasure Coast Psychiatric Services, P.a. 2740 Sw Martin Downs Blvd #305 Palm City FL 34990-6046 Ph: (772) 286-8826 | Treasure Coast Psychiatric Services, P.a. 789 S Federal Hwy Suite 213 Stuart FL 34994-2962 Ph: (772) 286-8826 |
| NPI Number | 1083802821 |
|---|---|
| Provider Enumeration Date | 10/05/2007 |
| Last Update Date | 11/15/2011 |
| Medicare PECOS PAC ID | 2961463955 |
|---|---|
| Medicare Enrollment ID | O20041022000769 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083802821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | (Florida) | Primary |
| Provider Name | Richard Edward Losardo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861464794 PECOS PAC ID: 2567423569 Enrollment ID: I20120124000789 |
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