Organization
NORTH FLORIDA REGIONAL PSYCHIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM TEDRICK JOHNSON (AO)
(615) 372-3375
Entity
Organization
Contact information
Practice address
1121 NW 64TH TER, SUITE B, GAINESVILLE, FL 32605
(352) 331-3583
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4525
(615) 372-5426
(866) 831-4898
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
305S00000X
Point of Service
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
333600000X
Pharmacy
—
—
Other
Enumeration date
05/27/2014
Last updated
04/16/2021
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