Organization
GULF COAST JEWISH FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA ROBERTSON (CFO)
(727) 479-1800
Entity
Organization
Contact information
Practice address
14041 ICOT BLVD, CLEARWATER, FL 33760-3702
(727) 479-1800
(727) 479-1248
Mailing address
14041 ICOT BLVD, CLEARWATER, FL 33760-3702
(727) 479-1800
(727) 479-1248
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
686094001
—
FL
Enumeration date
05/22/2007
Last updated
08/22/2020
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