| NPI | 1578367009 |
|---|---|
| Former Legal Business Name | FLORIDA PSYCHIATRY GROUP, PLLC |
| Entity Type | Organization |
| Authorized Contact | JAMECA JORDEN Credentialing Specialist 813-358-3505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-04-03 |
| Last Update Date | 2025-04-03 |