Organization
PINELLAS PSYCHIATRIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNY EXCELLENT M.D. (OWNER)
(727) 385-4455
Entity
Organization
Contact information
Practice address
25 FRANKLIN CT S, UNIT A, ST PETERSBURG, FL 33711-5136
(727) 385-4455
Mailing address
25 FRANKLIN CT S, UNIT A, ST PETERSBURG, FL 33711-5136
(727) 385-4455
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
ME 58124
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME 58124
FLORIDA MEDICAL LICENSE
FL
Enumeration date
02/26/2013
Last updated
02/26/2013
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