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Organization
PSYCHE MEDICAL GROUP PLLC
Active
Organization
PSYCHE MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN ORLANDO KLASS MD (MANAGER)
(833) 877-9243
Entity
Organization
Contact information
Practice address
501 E KENNEDY BLVD FL 14, TAMPA, FL 33602-5237
(833) 877-9243
(833) 877-9243
Mailing address
501 E KENNEDY BLVD FL 14, TAMPA, FL 33602-5237
(833) 877-9243
(833) 877-9243
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
102L00000X
Psychoanalyst
—
—
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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