Organization
SEABREEZE BEHAVIORAL MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNARDO J ARIAS MD (OWNER/PRESIDENT)
(941) 766-9555
Entity
Organization
Contact information
Practice address
3191 HARBOR BLVD, SUITE A, PORT CHARLOTTE, FL 33952-6755
(941) 766-9555
(941) 766-1511
Mailing address
3191 HARBOR BLVD STE A, PORT CHARLOTTE, FL 33952-6755
(941) 766-9555
(941) 766-1511
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260963100
—
FL
01
—
38239
B/C
—
Enumeration date
09/15/2005
Last updated
03/08/2012
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