| Kelly Ann Dowiak Pllc | |
|
6350 Gulf Of Mexico Dr Ste 103a Longboat Key FL 34228-1501 | |
| (941) 383-8020 | |
| (412) 774-2566 |
| Full Name | Kelly Ann Dowiak Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6350 Gulf Of Mexico Dr Ste 103a, Longboat Key, Florida |
| Authorized Official Name and Position | Kelly Ann Dowiak (OWNER) |
| Authorized Official Contact | 7245912440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Ann Dowiak Pllc 718 Lyons Ln Longboat Key FL 34228-1427 Ph: (724) 591-2440 | Kelly Ann Dowiak Pllc 6350 Gulf Of Mexico Dr Ste 103a Longboat Key FL 34228-1501 Ph: (941) 383-8020 |
| NPI Number | 1285452524 |
|---|---|
| Provider Enumeration Date | 09/26/2024 |
| Last Update Date | 09/26/2024 |
| Certification Date | 09/26/2024 |
| Medicare PECOS PAC ID | 2961934393 |
|---|---|
| Medicare Enrollment ID | O20241010001122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285452524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Kelly Ann Dowiak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477892396 PECOS PAC ID: 8325582992 Enrollment ID: I20240708000721 |
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