| Raitano Enterprises, Inc. | |
|
840 Beach Dr Ne St Petersburg FL 33701-2012 | |
| (727) 543-3235 | |
| Not Available |
| Full Name | Raitano Enterprises, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 840 Beach Dr Ne, St Petersburg, Florida |
| Authorized Official Name and Position | Amanda Thalji-raitano (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 7275433235 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raitano Enterprises, Inc. 518 33rd Ave N Saint Petersburg FL 33704-1218 Ph: (727) 543-3235 | Raitano Enterprises, Inc. 840 Beach Dr Ne St Petersburg FL 33701-2012 Ph: (727) 543-3235 |
| NPI Number | 1568127942 |
|---|---|
| Provider Enumeration Date | 11/01/2021 |
| Last Update Date | 11/01/2021 |
| Certification Date | 11/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568127942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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