Organization
THE GROWTH CENTER,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS ANTONEK PHD (PSYCHOLOGIST)
(813) 994-5595
Entity
Organization
Contact information
Practice address
2647 NARNIA WAY, LAND O LAKES, FL 34638-7233
(813) 994-5595
Mailing address
2647 NARNIA WAY, LAND O LAKES, FL 34638-7233
(813) 994-5595
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH10508
ZZ
103T00000X
Psychologist
Primary
PY6278
ZZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5NB27
BC
FL
Enumeration date
01/19/2017
Last updated
01/19/2017
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