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Organization

MICHAS, VALENTINE & GILL, PSYCHIATRIC ASSOCIATES, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CATHERINE ROSE MICHAS PH.D. (CHIEF OPERATING OFFICER)
(850) 862-3141
Entity
Organization

Contact information

Practice address
235 CARMEL DR, FORT WALTON BEACH, FL 32547-1957
(850) 862-3141
(850) 862-7732
Mailing address
235 CARMEL DR, FORT WALTON BEACH, FL 32547-1957
(850) 862-3141
(850) 862-7732

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2084P0800X
Psychiatry Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00370
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/14/2006
Last updated
09/11/2025
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