# SOUTHERN FLORIDA PSYCHIATRIC SERVICES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1790228153
- **Authorized official:** ANNAMARIE LOPINTO (CONTROLLER)
- **Authorized official phone:** (561) 815-2649

## Contact information

- **Practice address:** 710 SW PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34953-2692
- **Practice address phone:** (561) 815-2649
- **Mailing address:** PO BOX 162473, ALTAMONTE SPRINGS, FL 32716-2473
- **Mailing address phone:** (561) 815-2649

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | NULL | Yes |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 12/02/2016
- **Last updated:** 04/05/2022