Organization
NORTH TAMPA EXECUTIVE HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK MCGEACHY MD (MANAGER)
(813) 997-7942
Entity
Organization
Contact information
Practice address
3500 E FLETCHER AVE STE 201, TAMPA, FL 33613-4795
(813) 753-8836
Mailing address
1204 S BROAD ST # 192, BROOKSVILLE, FL 34601-3132
(352) 410-2595
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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