Life Management Center Of Northwest Florida Inc | |
311 Williams Ave Port St Joe FL 32456-1845 | |
(850) 522-4480 | |
(850) 914-6281 |
Full Name | Life Management Center Of Northwest Florida Inc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 311 Williams Ave, Port St Joe, Florida |
Authorized Official Name and Position | Edwin Ailes (CEO/PRESIDENT) |
Authorized Official Contact | 8505224485 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Life Management Center Of Northwest Florida Inc 525 E 15th St Panama City FL 32405-5412 Ph: (850) 522-4480 | Life Management Center Of Northwest Florida Inc 311 Williams Ave Port St Joe FL 32456-1845 Ph: (850) 522-4480 |
NPI Number | 1316977515 |
---|---|
Provider Enumeration Date | 07/04/2006 |
Last Update Date | 03/29/2024 |
Certification Date | 01/31/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316977515 | NPI | - | NPPES |
060296530 | Medicaid | FL |
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Shoreline Center For Exceptional Students, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 528 Cecil G Costin Sr Blvd Ste A, Port St Joe, FL 32456 Phone: 850-227-1163 |