Organization
STARFISH PSYCHIATRIC SERVICES PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARINA E PEREZ (OFFICE MANAGER)
(850) 243-7035
Entity
Organization
Contact information
Practice address
68 BEAL PKWY SW, FORT WALTON BEACH, FL 32548-5331
(850) 243-7035
(850) 243-8529
Mailing address
PO BOX 879, FORT WALTON BEACH, FL 32549-0879
(850) 243-7035
(850) 243-8529
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS 8859
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71705
BCBS PROVIDER NUMBER
FL
Enumeration date
10/12/2006
Last updated
08/22/2020
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