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2510 S Macdill Ave Ste B Tampa FL 33629-7218 | |
| (813) 335-9794 | |
| (813) 515-4151 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2510 S Macdill Ave Ste B, Tampa, Florida |
| Authorized Official Name and Position | Sandra Beekmann (OWNER / CLINICAL DIRECTOR) |
| Authorized Official Contact | 8133359794 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2510 S Macdill Ave Ste B Tampa FL 33629-7218 Ph: (813) 335-9794 | 2510 S Macdill Ave Ste B Tampa FL 33629-7218 Ph: (813) 335-9794 |
| NPI Number | 1598315657 |
|---|---|
| Provider Enumeration Date | 09/19/2019 |
| Last Update Date | 11/09/2023 |
| Certification Date | 11/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598315657 | NPI | - | NPPES |
| 1164960704 | Other | FL | FLORIDA BLUE |
| 1164960704 | Other | FL | CIGNA |
| 1598315657 | Other | FL | AETNA |
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