Organization
MENTAL FITNESS GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE JOHNSON III (CHIEF OPERATING OFFICER)
(813) 482-7110
Entity
Organization
Contact information
Practice address
8875 HIDDEN RIVER PKWY STE 300, TAMPA, FL 33637
(813) 482-7110
Mailing address
8606 BANEBERRY CT, TAMPA, FL 33647-3006
(813) 391-9741
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
PY9265
FL
Other
Enumeration date
11/15/2017
Last updated
08/11/2018
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