| Full Name | Fcitt |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1604 3rd Street Cir E, Palmetto, Florida |
| Authorized Official Name and Position | Eli Kolp (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7277988379 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fcitt 1604 3rd Street Cir E Palmetto FL 34221-4285 Ph: (727) 798-8379 | Fcitt 1604 3rd Street Cir E Palmetto FL 34221-4285 Ph: (727) 798-8379 |
| NPI Number | 1275024382 |
|---|---|
| Provider Enumeration Date | 05/24/2018 |
| Last Update Date | 05/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275024382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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