The Fedora Psychological Group

NPI 1285970277 - Psychologist - 103TA0400X

NPI Details
NPI 1285970277
Enumeration Date 12/18/2012
Last Updated 04/15/2014
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name ROBERTO ROBERTO
Position PRESIDENT
Phone (727) 282-5573
Fax (813) 501-1173
Practice Location
3530 1ST AVE N
SUITE 103
ST PETERSBURG FL, 33713-8435, US
Phone (727) 282-5573
Fax (813) 501-1173
Business Location
PO BOX 49284
SAINT PETERSBURG FL, 33743-9284, US
Phone (727) 209-7792
Fax (813) 501-1173
Toxanomy
Taxonomy Code 103TA0400X
License State Florida
License Number PY 8491
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According to our database, The Fedora Psychological Group NPI is 1285970277, taxonomy code is 103TA0400X and license number is PY 8491, license state is located at Florida. The Fedora Psychological Group physically located at 3530 1st Ave N, St Petersburg FL, 33713-8435. NPI Number 1033115704 has the healthcare provider type.

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1285970277 NPI number is provided on an as is basis without warranty of any kind. 1285970277 is maintained by the National Plan & Provider Enumeration System. The contents of The Fedora Psychological Group are for informational purposes only.