Organization
INTERVENTIONALPSYCHIATRY OF TAMPA BAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIE WINDERBAUM FERNANDEZ MD (OWNER)
(813) 251-1800
Entity
Organization
Contact information
Practice address
1001 S MACDILL AVE STE 100, TAMPA, FL 33629-5245
(813) 251-1800
(813) 251-9422
Mailing address
1001 S MACDILL AVE STE 100, TAMPA, FL 33629-5245
(813) 251-1800
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
93153
FLORIDA
—
Enumeration date
12/21/2021
Last updated
12/21/2021
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