| Usf Infant Family Mental Health Center | |
|
100 5th Ave S St Petersburg FL 33701-5010 | |
| (727) 873-4876 | |
| Not Available |
| Full Name | Usf Infant Family Mental Health Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 100 5th Ave S, St Petersburg, Florida |
| Authorized Official Name and Position | Richard J Sobieray (CFO USF HEALTH) |
| Authorized Official Contact | 8138218038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Usf Infant Family Mental Health Center Po Box 917770 Orlando FL 32891-0001 Ph: () - | Usf Infant Family Mental Health Center 100 5th Ave S St Petersburg FL 33701-5010 Ph: (727) 873-4876 |
| NPI Number | 1770194730 |
|---|---|
| Provider Enumeration Date | 08/13/2020 |
| Last Update Date | 02/17/2022 |
| Certification Date | 02/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770194730 | NPI | - | NPPES |
| 107955300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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