# FAMILY PSYCHIATRY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134419872
- **Authorized official:** DR. MARIANNE G KROUK DO (DIRECTOR OF CORPORATION)
- **Authorized official phone:** (239) 220-3543

## Contact information

- **Practice address:** 12641 WORLD PLAZA LN, SUITE 56, FORT MYERS, FL 33907-3990
- **Practice address phone:** (239) 220-3543
- **Mailing address:** 5031 HARBORTOWN LN, FORT MYERS, FL 33919-4650
- **Mailing address phone:** (239) 220-3543

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | OS10199 | FL | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | OS10199 | FL | Yes |

## Other

- **Enumeration date:** 04/14/2011
- **Last updated:** 04/14/2011