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Organization
BEHAVIORAL HEALTH SCIENCE OF WEST FLORIDA, LLC
Active
Organization
BEHAVIORAL HEALTH SCIENCE OF WEST FLORIDA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TED MARK DORTON (MARKET MANAGER)
(813) 283-8811
Entity
Organization
Contact information
Practice address
508 S HABANA AVE STE 380, TAMPA, FL 33609-4144
(813) 872-0457
(813) 877-7691
Mailing address
508 S HABANA AVE STE 380, TAMPA, FL 33609-4144
(813) 872-0457
(813) 877-7691
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME112401
FL
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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