Individual
DR. JIMMY L MIDDLEBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
819 SW FEDERAL HWY, STE 200 B, STUART, FL 34994-2952
(561) 531-8356
Mailing address
4193 SW OAKHAVEN LN, PALM CITY, FL 34990-7737
(561) 531-8356
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 9495
FL
Other
Enumeration date
04/13/2016
Last updated
04/21/2016
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