| Pediatric Therapies Of Northwest Florida, Llc | |
|
7840 Lilac Ln Apt 508 Pensacola FL 32514-7668 | |
| (850) 260-9016 | |
| (850) 912-8561 |
| Full Name | Pediatric Therapies Of Northwest Florida, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7840 Lilac Ln, Pensacola, Florida |
| Authorized Official Name and Position | Tyler Russell Steverson (OWNER) |
| Authorized Official Contact | 8502609016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Therapies Of Northwest Florida, Llc 7840 Lilac Ln Apt 508 Pensacola FL 32514-7668 Ph: (850) 260-9016 | Pediatric Therapies Of Northwest Florida, Llc 7840 Lilac Ln Apt 508 Pensacola FL 32514-7668 Ph: (850) 260-9016 |
| NPI Number | 1073913893 |
|---|---|
| Provider Enumeration Date | 08/28/2014 |
| Last Update Date | 08/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073913893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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