| Westcare Gulfcoast Florida, Inc | |
|
1735 Dr Martin Luther King Jr St S St Petersburg FL 33705-2404 | |
| (727) 502-0188 | |
| (727) 551-0668 |
| Full Name | Westcare Gulfcoast Florida, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1735 Dr Martin Luther King Jr St S, St Petersburg, Florida |
| Authorized Official Name and Position | Robert Neri (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 7274906767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westcare Gulfcoast Florida, Inc 1735 Dr Martin Luther King Jr St S St Petersburg FL 33705-2404 Ph: (727) 502-0188 | Westcare Gulfcoast Florida, Inc 1735 Dr Martin Luther King Jr St S St Petersburg FL 33705-2404 Ph: (727) 502-0188 |
| NPI Number | 1124161062 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 04/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124161062 | NPI | - | NPPES |
| 075852300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | SR52AD262901 (Florida) | Primary |
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