| A And R Psychiatric And Mental Health Services, Llc | |
|
2150 W Dr Martin Luther King Jr Blvd 2nd Floor Suite B Tampa FL 33607-6551 | |
| (813) 872-1525 | |
| (813) 877-5910 |
| Full Name | A And R Psychiatric And Mental Health Services, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2150 W Dr Martin Luther King Jr Blvd, Tampa, Florida |
| Authorized Official Name and Position | Justin M Roth (OWNER) |
| Authorized Official Contact | 8138721525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A And R Psychiatric And Mental Health Services, Llc 2150 W Dr Martin Luther King Jr Blvd 2nd Floor Suite B Tampa FL 33607-6551 Ph: (813) 872-1525 | A And R Psychiatric And Mental Health Services, Llc 2150 W Dr Martin Luther King Jr Blvd 2nd Floor Suite B Tampa FL 33607-6551 Ph: (813) 872-1525 |
| NPI Number | 1306114301 |
|---|---|
| Provider Enumeration Date | 12/05/2011 |
| Last Update Date | 12/05/2011 |
| Medicare PECOS PAC ID | 0547427239 |
|---|---|
| Medicare Enrollment ID | O20120208000441 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306114301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jennifer E Roth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346556149 PECOS PAC ID: 7618134305 Enrollment ID: I20120208000465 |
| Provider Name | Justin M Roth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790096626 PECOS PAC ID: 4082871777 Enrollment ID: I20120208000495 |
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