| Southern Florida Psychiatric Services Llc | |
|
710 Sw Port St Lucie Blvd Port St Lucie FL 34953-2692 | |
| (561) 815-2649 | |
| Not Available |
| Full Name | Southern Florida Psychiatric Services Llc |
|---|---|
| Speciality | Psychologist - Addiction (substance Use Disorder) |
| Location | 710 Sw Port St Lucie Blvd, Port St Lucie, Florida |
| Authorized Official Name and Position | Annamarie Lopinto (CONTROLLER) |
| Authorized Official Contact | 5618152649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Florida Psychiatric Services Llc Po Box 162473 Altamonte Springs FL 32716-2473 Ph: (561) 815-2649 | Southern Florida Psychiatric Services Llc 710 Sw Port St Lucie Blvd Port St Lucie FL 34953-2692 Ph: (561) 815-2649 |
| NPI Number | 1790228153 |
|---|---|
| Provider Enumeration Date | 12/02/2016 |
| Last Update Date | 04/05/2022 |
| Certification Date | 04/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790228153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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