# BEHAVIORAL HEALTH SCIENCE OF WEST FLORIDA, LLC

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

## Provider details

- **NPI number:** 1508222324
- **Authorized official:** TED MARK DORTON (MARKET MANAGER)
- **Authorized official phone:** (813) 283-8811

## Contact information

- **Practice address:** 508 S HABANA AVE STE 380, TAMPA, FL 33609-4144
- **Practice address phone:** (813) 872-0457
- **Practice address fax:** (813) 877-7691
- **Mailing address:** 508 S HABANA AVE STE 380, TAMPA, FL 33609-4144
- **Mailing address phone:** (813) 872-0457
- **Mailing address fax:** (813) 877-7691

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | ME112401 | FL | Yes |

## Other

- **Enumeration date:** 01/08/2016
- **Last updated:** 01/08/2016