Journey Psychiatry & Behavioral Health Llc | |
2710 Us 19 Alt Suite 403b Palm Harbor FL 34683 | |
(727) 748-3954 | |
Not Available |
Full Name | Journey Psychiatry & Behavioral Health Llc |
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Speciality | Clinic/Center |
Location | 2710 Us 19 Alt, Palm Harbor, Florida |
Authorized Official Name and Position | Robert Brady (OWNER) |
Authorized Official Contact | 7164446169 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Journey Psychiatry & Behavioral Health Llc 4916 26th St W Ste 158 Bradenton FL 34207-1712 Ph: (716) 444-6169 | Journey Psychiatry & Behavioral Health Llc 2710 Us 19 Alt Suite 403b Palm Harbor FL 34683 Ph: (727) 748-3954 |
NPI Number | 1144965054 |
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Provider Enumeration Date | 05/04/2022 |
Last Update Date | 01/20/2023 |
Medicare PECOS PAC ID | 0547619447 |
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Medicare Enrollment ID | O20231218000074 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144965054 | NPI | - | NPPES |
11012067 | Other | FL | APRN LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Robert N Brady |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629653530 PECOS PAC ID: 7416364344 Enrollment ID: I20210322000643 |
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