K LIDZ NP IN PSYCHIATRY PLLC

PALM CITY, FL
NPI1427894310
Entity TypeOrganization
Authorized ContactKATHERINE LIDZ
Owner
803-619-9846
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2024-07-01
Last Update Date2024-12-18
Business Address
K LIDZ NP IN PSYCHIATRY PLLC
6520 SW THISTLE TER
PALM CITY, FL 34990-3857
Phone number: 803-619-9846
Mailing Address
K LIDZ NP IN PSYCHIATRY PLLC
1983 NEWBERRY LN
TEGA CAY, SC 29708-8438
Phone number: 803-619-9846