| Robert Paul Fillingim, Llc | |
|
5200 Woodbine Rd Pace FL 32571-8715 | |
| (850) 529-1944 | |
| Not Available |
| Full Name | Robert Paul Fillingim, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5200 Woodbine Rd, Pace, Florida |
| Authorized Official Name and Position | Robert P Fillingim (OWNER) |
| Authorized Official Contact | 8509951544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Paul Fillingim, Llc 5780 Windermere Trce Pace FL 32571-9368 Ph: (850) 995-1544 | Robert Paul Fillingim, Llc 5200 Woodbine Rd Pace FL 32571-8715 Ph: (850) 529-1944 |
| NPI Number | 1770191967 |
|---|---|
| Provider Enumeration Date | 07/14/2020 |
| Last Update Date | 07/14/2020 |
| Certification Date | 07/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770191967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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