Organization
ANXIETY TREATMENT OF FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BLOOMQUIST (MEMBER)
(904) 930-7670
Entity
Organization
Contact information
Practice address
162 LONE EAGLE WAY, PONTE VEDRA, FL 32081-8386
(904) 930-7670
Mailing address
PO BOX 2527, PONTE VEDRA BEACH, FL 32004-2527
(904) 930-7670
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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