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Organization
OGLETHORPE PSYCHMED SERVICES OF FLORIDA INC
Active
Organization
OGLETHORPE PSYCHMED SERVICES OF FLORIDA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R. PICCIANO (PRESIDENT)
(772) 335-0400
Entity
Organization
Contact information
Practice address
2550 SE WALTON RD, PORT ST LUCIE, FL 34952-7168
(772) 335-0400
Mailing address
13406 CORTEZ BLVD, BROOKVILLE, FL 34613-6822
(352) 597-5075
(352) 897-9644
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/21/2007
Last updated
12/13/2010
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