| NPI | 1730436973 |
|---|---|
| Doing Business As | ST PETE PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | FRANK MIDDLE NAME RODELL President 920-883-2789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP 9346773) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2023-10-20 |