| Psychotherapeutic Services Of Florida | |
|
323 Sgt Joe Jones Rd Immokalee FL 34142-4364 | |
| (239) 657-2130 | |
| (239) 657-2930 |
| Full Name | Psychotherapeutic Services Of Florida |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 323 Sgt Joe Jones Rd, Immokalee, Florida |
| Authorized Official Name and Position | Randall Cooper (CPA) |
| Authorized Official Contact | 4107789114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychotherapeutic Services Of Florida 870 High St Suite 2 Chestertown MD 21620-3909 Ph: (410) 778-9114 | Psychotherapeutic Services Of Florida 323 Sgt Joe Jones Rd Immokalee FL 34142-4364 Ph: (239) 657-2130 |
| NPI Number | 1528252137 |
|---|---|
| Provider Enumeration Date | 08/28/2007 |
| Last Update Date | 08/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528252137 | NPI | - | NPPES |
| 076775100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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