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Organization
THAIP MEDICAL/COMPLEXITY CARE LLC
Active
Organization
THAIP MEDICAL/COMPLEXITY CARE LLC
Active
Other names
COMPLEXITY CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB READ PMHNP-BC (PROVIDER)
(406) 860-5138
Entity
Organization
Contact information
Practice address
336 WILSHIRE BLVD STE 238-120, CASSELBERRY, FL 32707-5370
(865) 213-2834
Mailing address
336 WILSHIRE BLVD STE 238-120, CASSELBERRY, FL 32707-5370
(865) 213-2834
(835) 213-5169
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
11/13/2023
Last updated
06/23/2025
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