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Organization
SUNCOAST RC, LLC
Active
Organization
SUNCOAST RC, LLC
Active
Other names
Advantage Mental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM HERVEY MD (CHIEF MEDICAL OFFICER)
(727) 600-8093
Entity
Organization
Contact information
Practice address
28465 US HIGHWAY 19 N, SUITE 200, CLEARWATER, FL 33761-2511
(727) 600-8093
(727) 240-0604
Mailing address
28465 US HIGHWAY 19 N, SUITE 200, CLEARWATER, FL 33761-2511
(727) 600-8093
(727) 240-0604
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ARNP2194342
FL
101YM0800X
Mental Health Counselor
ME108154
FL
Other
Enumeration date
02/23/2015
Last updated
02/23/2015
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