| Keith Golin Phd Fl Llc | |
|
7901 4th St N Ste 300 St Petersburg FL 33702-4399 | |
| (888) 284-2034 | |
| Not Available |
| Full Name | Keith Golin Phd Fl Llc |
|---|---|
| Speciality | Psychologist |
| Location | 7901 4th St N Ste 300, St Petersburg, Florida |
| Authorized Official Name and Position | Keith Golin (OWNER) |
| Authorized Official Contact | 8882842034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Golin Phd Fl Llc 659 Eagle Rock Ave Ste 4 West Orange NJ 07052-2138 Ph: () - | Keith Golin Phd Fl Llc 7901 4th St N Ste 300 St Petersburg FL 33702-4399 Ph: (888) 284-2034 |
| NPI Number | 1043057649 |
|---|---|
| Provider Enumeration Date | 07/10/2024 |
| Last Update Date | 07/10/2024 |
| Certification Date | 07/10/2024 |
| Medicare PECOS PAC ID | 2668910977 |
|---|---|
| Medicare Enrollment ID | O20240819000915 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043057649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Krystal Lynn Moir |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386323947 PECOS PAC ID: 8022471051 Enrollment ID: I20240819000964 |
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