| 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 - Psychiatry |
| Location | 1 Se Ocean Blvd, Stuart, Florida |
| Authorized Official Name and Position | Muhannad Kassawat (OWNER) |
| Authorized Official Contact | 3309659999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| 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 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497354690 | NPI | - | NPPES |
| PENDING | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | () | Primary |
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