Organization
CENTER FOR NEUROPSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GNANESWARA V MIDATHALA M.D. (PHYSICIAN/MEMBER)
(309) 310-4399
Entity
Organization
Contact information
Practice address
8225 STATE ROAD 54, NEW PORT RICHEY, FL 34655-3016
(309) 310-4399
Mailing address
8225 STATE ROAD 54, NEW PORT RICHEY, FL 34655-3016
(309) 310-4399
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME109325
FL
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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