Anxiety Treatment Of Florida Llc | |
162 Lone Eagle Way Ponte Vedra FL 32081-8386 | |
(904) 930-7670 | |
Not Available |
Full Name | Anxiety Treatment Of Florida Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 162 Lone Eagle Way, Ponte Vedra, Florida |
Authorized Official Name and Position | Michael Bloomquist (MEMBER) |
Authorized Official Contact | 9049307670 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Anxiety Treatment Of Florida Llc Po Box 2527 Ponte Vedra Beach FL 32004-2527 Ph: (904) 930-7670 | Anxiety Treatment Of Florida Llc 162 Lone Eagle Way Ponte Vedra FL 32081-8386 Ph: (904) 930-7670 |
NPI Number | 1265019376 |
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Provider Enumeration Date | 03/25/2021 |
Last Update Date | 03/25/2021 |
Certification Date | 03/25/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265019376 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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