| Obsidian Health Management Services Llc | |
|
2350 Cypress Pond Rd Apt 1613 Palm Harbor FL 34683-1507 | |
| (813) 609-0552 | |
| Not Available |
| Full Name | Obsidian Health Management Services Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Psychiatry |
| Location | 2350 Cypress Pond Rd Apt 1613, Palm Harbor, Florida |
| Authorized Official Name and Position | Rajiv Michael David Hudek (MANAGING MEMBER) |
| Authorized Official Contact | 6293260415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Obsidian Health Management Services Llc 2350 Cypress Pond Rd Apt 1613 Palm Harbor FL 34683-1507 Ph: (813) 609-0552 | Obsidian Health Management Services Llc 2350 Cypress Pond Rd Apt 1613 Palm Harbor FL 34683-1507 Ph: (813) 609-0552 |
| NPI Number | 1801722178 |
|---|---|
| Provider Enumeration Date | 06/23/2026 |
| Last Update Date | 06/23/2026 |
| Certification Date | 06/23/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801722178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | (* (Not Available)) | Primary |
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