| North Florida Regional Psychiatry, Llc | |
|
1121 Nw 64th Ter Ste B Gainesville FL 32605-4256 | |
| (615) 372-5426 | |
| Not Available |
| Full Name | North Florida Regional Psychiatry, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1121 Nw 64th Ter Ste B, Gainesville, Florida |
| Authorized Official Name and Position | Raven Shenette Mayes (OPTOMETRIST) |
| Authorized Official Contact | 3527928069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Florida Regional Psychiatry, Llc 2101 Ne 2nd St Apt 114 Gainesville FL 32609-8626 Ph: (352) 792-8069 | North Florida Regional Psychiatry, Llc 1121 Nw 64th Ter Ste B Gainesville FL 32605-4256 Ph: (615) 372-5426 |
| NPI Number | 1295295178 |
|---|---|
| Provider Enumeration Date | 03/25/2019 |
| Last Update Date | 03/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295295178 | NPI | - | NPPES |
| 50-2560 | Other | FL | FLORIDA ISSUE PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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