# CENTERMARK HEALTH LLC

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

## Provider details

- **NPI number:** 1396552725
- **Authorized official:** LATRICE MARKISON PMHNP (OWNER)
- **Authorized official phone:** (813) 416-9245

## Contact information

- **Practice address:** 8270 WOODLAND CENTER BLVD, TAMPA, FL 33614-2401
- **Practice address phone:** (888) 813-1323
- **Practice address fax:** (813) 863-1992
- **Mailing address:** 27251 WESLEY CHAPEL BLVD STE 1037, WESLEY CHAPEL, FL 33544-4285
- **Mailing address phone:** (888) 813-1323
- **Mailing address fax:** (813) 863-1992

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/18/2024
- **Last updated:** 12/18/2024
