Florida Medical Psychology Associates, Llc

NPI 1124123534 - Clinical Neuropsychologist - 103G00000X

NPI Details
NPI 1124123534
Enumeration Date 09/13/2006
Last Updated 05/10/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARIO S MARIO
Position MANAGER
Phone (813) 386-6800
Fax (813) 891-1311
Practice Location
12167 W. LINEBAUGH AVE.
TAMPA FL, 33626-4615, US
Phone (813) 386-6800
Fax (813) 891-1311
Business Location
12167 W. LINEBAUGH AVE.
TAMPA FL, 33626, US
Phone (813) 386-6800
Fax (813) 891-1311
Toxanomy
Taxonomy Code 103G00000X
License State Florida
License Number PY6274
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According to our database, Florida Medical Psychology Associates, Llc NPI is 1124123534, taxonomy code is 103G00000X and license number is PY6274, license state is located at Florida. Florida Medical Psychology Associates, Llc physically located at 12167 W. Linebaugh Ave., Tampa FL, 33626-4615. NPI Number 1033115704 has the healthcare provider type.

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1124123534 NPI number is provided on an as is basis without warranty of any kind. 1124123534 is maintained by the National Plan & Provider Enumeration System. The contents of Florida Medical Psychology Associates, Llc are for informational purposes only.