NPI | 1043876527 |
---|---|
Doing Business As | BELLEAIR BEHAVIORAL MEDICINE |
Entity Type | Organization |
Authorized Contact | PAUL REEVE CLEMETNS President 727-641-5507 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2019-05-10 |
Last Update Date | 2020-11-20 |