Organization
NEUROSPA TMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM UPSHAW MD (AUTHORIZED OFFICIAL)
(813) 605-1122
Entity
Organization
Contact information
Practice address
6511 GUNN HWY, TAMPA, FL 33625-4021
(813) 605-1122
(813) 354-2430
Mailing address
6511 GUNN HWY, TAMPA, FL 33625-4021
(813) 605-1122
(813) 354-2430
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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