| Wildwood Family Psychiatry, Pllc | |
|
900 Cleveland Ave Ste 3 Wildwood FL 34785-3506 | |
| (352) 535-8110 | |
| Not Available |
| Full Name | Wildwood Family Psychiatry, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 900 Cleveland Ave Ste 3, Wildwood, Florida |
| Authorized Official Name and Position | Wendy Young (MGR) |
| Authorized Official Contact | 3525358110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wildwood Family Psychiatry, Pllc Po Box 356 Oxford FL 34484-0356 Ph: (352) 535-8110 | Wildwood Family Psychiatry, Pllc 900 Cleveland Ave Ste 3 Wildwood FL 34785-3506 Ph: (352) 535-8110 |
| NPI Number | 1376384966 |
|---|---|
| Provider Enumeration Date | 06/05/2024 |
| Last Update Date | 06/06/2024 |
| Certification Date | 06/06/2024 |
| Medicare PECOS PAC ID | 4486188828 |
|---|---|
| Medicare Enrollment ID | O20241107003875 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376384966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Wendy Ann Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679327167 PECOS PAC ID: 5395279731 Enrollment ID: I20241111000207 |
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