| Marsh Landing Behavioral Group Inc | |
|
1538 The Greens Way Suite 101 Jacksonville Beach FL 32250-2499 | |
| (904) 543-0161 | |
| (904) 543-9172 |
| Full Name | Marsh Landing Behavioral Group Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 1538 The Greens Way, Jacksonville Beach, Florida |
| Authorized Official Name and Position | Mark Christopher Tomaski (CEO, MEDICAL DIRECTOR) |
| Authorized Official Contact | 9045430161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marsh Landing Behavioral Group Inc 1538 The Greens Way Suite 101 Jacksonville Beach FL 32250-2499 Ph: (904) 543-0161 | Marsh Landing Behavioral Group Inc 1538 The Greens Way Suite 101 Jacksonville Beach FL 32250-2499 Ph: (904) 543-0161 |
| NPI Number | 1124143490 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 02/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124143490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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