| Center Of Revitalizing Psychiatry Pc | |
|
2033 Wood St Ste 220 Sarasota FL 34237-7927 | |
| (941) 677-3366 | |
| (941) 677-3367 |
| Full Name | Center Of Revitalizing Psychiatry Pc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2033 Wood St Ste 220, Sarasota, Florida |
| Authorized Official Name and Position | Marina Tourkova (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9416773366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center Of Revitalizing Psychiatry Pc 2033 Wood St Ste 220 Sarasota FL 34237-7927 Ph: (941) 677-3366 | Center Of Revitalizing Psychiatry Pc 2033 Wood St Ste 220 Sarasota FL 34237-7927 Ph: (941) 677-3366 |
| NPI Number | 1538572854 |
|---|---|
| Provider Enumeration Date | 06/04/2014 |
| Last Update Date | 06/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538572854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 12-58-AD-4404-01 (Florida) | Primary |
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