Organization
GULF COAST PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON ERIC PATEL (AUTHORIZED MEMBER)
(727) 203-5035
Entity
Organization
Contact information
Practice address
1515 22ND AVE N, ST PETERSBURG, FL 33704-3113
(727) 322-4227
Mailing address
PO BOX 13343, ST PETERSBURG, FL 33733-3343
(727) 203-5035
(727) 205-5447
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
02/07/2024
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