| Fl Psychiatric Services, Llc | |
|
1 Se Ocean Blvd Stuart FL 34994-2214 | |
| (772) 400-2875 | |
| (772) 400-2876 |
| Full Name | Fl Psychiatric Services, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1 Se Ocean Blvd, Stuart, Florida |
| Authorized Official Name and Position | Muhannad Kassawat (OWNER) |
| Authorized Official Contact | 3309659999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fl Psychiatric Services, Llc Po Box 3743 Youngstown OH 44513-3743 Ph: (330) 965-9999 | Fl Psychiatric Services, Llc 1 Se Ocean Blvd Stuart FL 34994-2214 Ph: (772) 400-2875 |
| NPI Number | 1497354690 |
|---|---|
| Provider Enumeration Date | 10/20/2020 |
| Last Update Date | 07/27/2021 |
| Certification Date | 03/02/2021 |
| Medicare PECOS PAC ID | 5799195228 |
|---|---|
| Medicare Enrollment ID | O20250116001181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497354690 | NPI | - | NPPES |
| PENDING | Medicaid | FL |
| Provider Name | Muhannad Kassawat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023266533 PECOS PAC ID: 3274698436 Enrollment ID: I20220406001483 |
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